Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6715 | TX |
Y | 103T00000X | Psychologist | 6715 | TX |
N | 103TS0200X | School Psychologist | 25768 | TX |
NPI | 1083800536 |
---|---|
Provider Name | Dr. Carmen Lira Flores |
First Address | Harlingen, TX 78550-1913 |
Second Address | Harlingen, TX 78550-1913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 19/09/2007 |