Provider Demographics
NPI:1245790310
Name:TORRES, JOSE OCTAVIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:OCTAVIO
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:586 BRIGGS DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3397
Mailing Address - Country:US
Mailing Address - Phone:806-290-3008
Mailing Address - Fax:
Practice Address - Street 1:101 NICOLLS RD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-2499
Practice Address - Fax:631-444-3919
Is Sole Proprietor?:No
Enumeration Date:2019-03-23
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT5476207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine