Individual
JONATHAN IVAN FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5346 E US HIGHWAY 83 STE 2, RIO GRANDE CITY, TX 78582-9418
(956) 317-1285
(956) 317-1291
Mailing address
801 N GARZA ST, RIO GRANDE CITY, TX 78582-3326
(956) 263-9761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2112335
TX
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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