Eleazar Flores, LSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

30715 Ginger Trace Dr
Spring, TX 77386

Phone

(281) 210-9934

NPI assigned

Dec 30, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eli Flores Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sharp Surgical

  • Surgical Physician Assistant
  • Spring, TX
  • NPI 1073968210
  Authorized official Same address or phone
• Sharp Surgical

  • Surgical Physician Assistant
  • Spring, TX
  • NPI 1194325993
  Authorized official Same address or phone
• Sharp Surgical

  • Surgical Physician Assistant
  • Spring, TX
  • NPI 1518563204
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1508196395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30715 GINGER TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864021",
            "telephone_number": "281-210-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30715 GINGER TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77386",
            "telephone_number": "281-210-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ELEAZAR",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "SA00652",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELI",
            "last_name": "FLORES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Five Star Woodlands LLC (The Forum at the Woodlands)
• Jaimee Flavier
• Derericka Keyshay Fleming
• Sarah Lynn Flipse, PTA
• Ana Maria Flores
• Inez E Flores, RBT
• Kassandra Flores, M.ED, LPC
• Katherine Flores, SLP
• Lisette Flores
• Sandra Flores

• Surgical Physician Assistant in Spring, TX
• Providers in Spring, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.