Individual
BRENDA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6430 BANDERA RD STE 74, SAN ANTONIO, TX 78238-1513
(210) 520-0218
(210) 509-4163
Mailing address
6430 BANDERA RD STE 74, SAN ANTONIO, TX 78238-1513
(210) 520-0218
(210) 509-4163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP123557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
295565YLPS
WELLMED MEDICARE
TX
01
—
3283251-03
WELLMED MEDICAID
TX
Enumeration date
10/11/2012
Last updated
02/13/2020
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