Flores Clinic Inc

NPI 1750578159 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1750578159
Enumeration Date 09/28/2007
Last Updated 09/28/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WALTER WALTER
Position GENERAL PRACTICE
Phone (505) 396-2474
Fax (505) 396-5521
Practice Location
828 W JACKSON AVE
LOVINGTON NM, 88260-3302, US
Phone (505) 396-2474
Fax (505) 396-5521
Business Location
PO BOX 1412
828 W JACKSON
LOVINGTON NM, 88260-1412, US
Phone (505) 396-2474
Fax (505) 396-5521
Toxanomy
Taxonomy Code 302F00000X
License State New Mexico
License Number A504-68
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According to our database, Flores Clinic Inc NPI is 1750578159, taxonomy code is 302F00000X and license number is A504-68, license state is located at New Mexico. Flores Clinic Inc physically located at 828 W Jackson Ave, Lovington NM, 88260-3302. NPI Number 1033115704 has the healthcare provider type.

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1750578159 NPI number is provided on an as is basis without warranty of any kind. 1750578159 is maintained by the National Plan & Provider Enumeration System. The contents of Flores Clinic Inc are for informational purposes only.