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Individual

CHRISTOPHER M FLORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-9223
(214) 633-5555
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
DT82223
TX
363A00000X
Physician Assistant
Primary
PA14571
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1069836
CDR NUMBER
TX
Enumeration date
03/01/2013
Last updated
06/21/2022
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