Individual
ELEAZAR FLORES
Active
Individual
ELEAZAR FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00652
TEXAS MEDICAL BOARD
TX
Enumeration date
12/30/2009
Last updated
10/29/2020
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