Provider Demographics
NPI:1225146491
Name:TORRES, ELVIS (DO)
Entity Type:Individual
Prefix:DR
First Name:ELVIS
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1139
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-1139
Mailing Address - Country:US
Mailing Address - Phone:281-496-2496
Mailing Address - Fax:281-496-2420
Practice Address - Street 1:12000 RICHMOND AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2431
Practice Address - Country:US
Practice Address - Phone:281-496-2496
Practice Address - Fax:281-496-2420
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1102207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF84504Medicare UPIN
TX8C5827Medicare PIN