Organization
LIVE OAK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA FLORES (NURSE)
(361) 449-8019
Entity
Organization
Contact information
Practice address
102 N HARBORTH AVE, THREE RIVERS, TX 78071
(361) 786-3820
(361) 786-3820
Mailing address
PO BOX 699, GEORGE WEST, TX 78022-0699
(361) 449-2733
(361) 449-3626
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
001001677
TX
Other
Enumeration date
09/10/2007
Last updated
04/04/2023
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