Doctor Name: | MIGUEL TORRES |
NPI Number: | 1679864383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 11403 |
Business Practice Address: | 5470 E Loop 820 Ste 110 Fort Worth, TX - 761196515 |
Business Phone Number: | 8175366877 |
Business Fax Number: | 8175355233 |
Mailing Address: | 5470 E Loop 820, Ste 110 FORT WORTH |
State: | TX |
Postal Code: | 761196515 |
Phone Number: | 8175366877 |
Fax Number: | 8175355233 |
NPI Enumeration Date: | 04/28/2011 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | 11403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |