Individual
ELEAZAR FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
30715 GINGER TRACE DR, SPRING, TX 77386
(281) 210-9934
Mailing address
30715 GINGER TRACE DR, SPRING, TX 77386-4021
(281) 210-9934
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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