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Individual
ROEL O FLORES JR.
Active
Individual
ROEL O FLORES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q4102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349498101
—
TX
05
—
349498102
—
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-066
TRICARE
TX
01
—
75-261977-043
TRICARE
TX
01
—
8FF322
BCBS
TX
01
—
P01570027
RAIL ROAD MEDICARE
TX
Enumeration date
05/14/2012
Last updated
02/08/2016
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