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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