Provider Demographics
NPI:1235242603
Name:QUIRICO U TORRES MD PHD PA
Entity Type:Organization
Organization Name:QUIRICO U TORRES MD PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:QUIRICO
Authorized Official - Middle Name:U
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-677-9989
Mailing Address - Street 1:1101 NORTH 19TH
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601
Mailing Address - Country:US
Mailing Address - Phone:325-677-9989
Mailing Address - Fax:325-677-1012
Practice Address - Street 1:1101 NORTH 19TH
Practice Address - Street 2:SUITE 103
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601
Practice Address - Country:US
Practice Address - Phone:325-677-9989
Practice Address - Fax:325-677-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9235207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00GM69OtherBLUE CROSS BLUE SHIELD
TX00GM69Medicare ID - Type Unspecified
B27040Medicare UPIN