Provider Demographics
NPI:1467500173
Name:TORRES, FRANK X (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:X
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 1:2500 N STATE ST
Mailing Address - Street 2:JMM ROOM 2525
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-984-1530
Mailing Address - Fax:601-984-1531
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:JMM ROOM 2525
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-1530
Practice Address - Fax:601-984-1531
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301057812207ZP0101X
MS24271207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07656862Medicaid
MI274966210Medicaid
700H262270OtherBLUE CROSS-BLUE CROSS
FT057812OtherCHAMPUS-CHAMPUS
FT057812OtherCOMMERCIAL-COMMERCIAL NUMBER
700H262270OtherBLUE CROSS-BLUE CROSS
FT057812OtherCHAMPUS-CHAMPUS
MS07656862Medicaid