Everardo Flores Jr., M.D.
Radiology, Diagnostic Radiology in Beaumont, TX. Individual provider (NPI-1).
NPI number1780116764
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1780116764
- Entity type
- Individual (NPI-1)
- Name
- Mr. Everardo Flores Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2017
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | U4196 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3080 College StBeaumont, TX 77701-4606
Phone 409-212-5804
Mailing address
3080 College StBeaumont, TX 77701-4606
Phone 409-212-5804
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