Laura C Flores-Rodriguez
Individual provider Active NPI Obstetrics & Gynecology Physician · Kingsville, TX
NPI 1104121250 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1104121250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- R0233 (TX)
- Practice address
- 1311 General Cavazos Blvd
Kingsville, TX 78363-7150 - Phone
- (361) 592-2223
- Fax
- (361) 592-1967
- NPI assigned
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180222002295 | TX | Practitioner - Obstetrics/Gynecology | 3779880018 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I8986 | PR | MD | Obstetrics & Gynecology Physician |
| R0233 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| C H Wilkinson Physician Network | Obstetrics & Gynecology | Current |
Accepting new patients |
| Christus Trinity Clinic Texas | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mitchell B. Hughston, M.D. & Susan L. Redmond, M.D., PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Knapp Medical Center | Past | Accepting new patients |
Locations
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- laura.flores-rodriguez.1@7996.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | I8986 | PR | |
| Obstetrics & Gynecology Physician | 207V00000X | R0233 | TX | Yes |
Addresses
Primary practice location
1311 General Cavazos Blvd
Kingsville, TX 78363-7150
Mailing address
1821 S Sesame SQ
Suite 5
Harlingen, TX 78550-9288
Phone (956) 423-4434
Other practice location 1
1821 S Sesame Sq
Suite 5
Harlingen, TX 78550-9288
Phone (956) 423-4434 ext. 1009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 392180103 | Medicaid | TX | |
| 1L5617 | Other | TX | MEDICARE |
| P02601762 | Other | TX | MCRR |
| 3921801 | Medicaid | TX |
Other providers in Kingsville, TX
- Eyemart Express LLC
- George Fernandez
- Figarelli Medical Supply Inc
- Delvalle Antoni Figarelli-Everett
- Find Balance Vilches Vela Mental Wellness
- Luis Felipe Flores
- Olivia Daylyn Tate Frazier
- Pamela J Frazier
- Velia Reyna Freeman
- Adriana Galicia
All providers in Kingsville, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.