Organization
FLORES CLINIC INC
Active
Other names
WALTER FLORES DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER FLORES D.O. (GENERAL PRACTICE)
(505) 396-2474
Entity
Organization
Contact information
Practice address
828 W JACKSON AVE, LOVINGTON, NM 88260-3302
(505) 396-2474
(505) 396-5521
Mailing address
PO BOX 1412, 828 W JACKSON, LOVINGTON, NM 88260-1412
(505) 396-2474
(505) 396-5521
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A504-68
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42390
—
NM
Enumeration date
09/28/2007
Last updated
03/07/2023
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