Provider Demographics
NPI:1275563272
Name:TORRES, FADI MOGHARBEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FADI
Middle Name:MOGHARBEL
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 N 10TH ST STE 8
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3151
Mailing Address - Country:US
Mailing Address - Phone:956-994-8707
Mailing Address - Fax:956-994-1696
Practice Address - Street 1:6900 N 10TH ST
Practice Address - Street 2:SUITE #8
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3198
Practice Address - Country:US
Practice Address - Phone:956-994-8707
Practice Address - Fax:956-994-1696
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2702208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146403401Medicaid
TXH58453Medicare UPIN