Provider Demographics
NPI:1043054380
Name:FLORES, SAMANTHA LEE (AUD)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LEE
Last Name:FLORES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 N SUNSHINE ST
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387-2746
Mailing Address - Country:US
Mailing Address - Phone:361-424-5531
Mailing Address - Fax:
Practice Address - Street 1:215 N SUNSHINE ST
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387-2746
Practice Address - Country:US
Practice Address - Phone:361-424-5531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist