Individual
BETH FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11200 BROADWAY ST, PEARLAND, TX 77584-9785
(281) 371-6564
Mailing address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(281) 930-5119
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
929991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46124627
DRIVER LICENSE
TX
Enumeration date
05/31/2022
Last updated
03/20/2023
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