Provider Demographics
NPI:1053176891
Name:FLORES SANTOS, NICOLE ANGELINE (DC, IBCLC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ANGELINE
Last Name:FLORES SANTOS
Suffix:
Gender:F
Credentials:DC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 GREENHOUSE RD # STD105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7724
Mailing Address - Country:US
Mailing Address - Phone:832-841-4289
Mailing Address - Fax:
Practice Address - Street 1:2404 GREENHOUSE RD # STD105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7724
Practice Address - Country:US
Practice Address - Phone:832-841-4289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15858111N00000X
318821174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No174N00000XOther Service ProvidersLactation Consultant, Non-RN