Individual ProviderAdolfo FloresPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Gme- B-4.201, Dallas, TX 75235-7701(214) 456-2329(915) 491-4639PECOS EnrollmentBased on the most recent information from CMS, provider Adolfo Flores is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:37 AM.Profile DetailsProvider ID1659714145Provider TypeIndividualFull NameFlores, AdolfoTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/15/2013Last Updated11/2/2020Contact InformationPractice LocationPractice Address1935 Medical District Dr, Gme- B-4.201, Dallas, TX 75235-7701Phone(214) 456-2329FaxUnlisted FaxMailing LocationMailing Address1605 Nevada Dr, Plano, TX 75093-5407Phone(915) 491-4639FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseQ7688TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10045874Texas