| Doctor Name: | AZALEA IRIS FLORES |
| NPI Number: | 1215185947 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 1176878 |
| Business Practice Address: | 12315 Judson Rd Ste 200 Live Oak, TX - 782333206 |
| Business Phone Number: | 2106567953 |
| Business Fax Number: | |
| Mailing Address: | 3875 E Southcross Blvd, B SAN ANTONIO |
| State: | TX |
| Postal Code: | 782223521 |
| Phone Number: | 2103377953 |
| Fax Number: | 2103377966 |
| NPI Enumeration Date: | 09/06/2008 |
| NPI Last Update Date: | 09/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1176878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |