Organization
LITTLE ELM MEDICAL CLINIC PA
Active
Organization
LITTLE ELM MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GERARD FLORES M.D. (CEO)
(972) 292-3330
Entity
Organization
Contact information
Practice address
730 E ELDORADO PKWY, LITTLE ELM, TX 75068-5444
(972) 292-3330
(214) 619-4697
Mailing address
730 E ELDORADO PKWY, LITTLE ELM, TX 75068-5444
(972) 292-3330
(214) 619-4697
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
J6432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8131342
MEDICARE ID
—
01
—
8B1341
MEDICARE ID
TX
Enumeration date
10/04/2011
Last updated
10/04/2011
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