Provider Demographics
NPI:1528228160
Name:TORRES, JOYCELYN T
Entity Type:Individual
Prefix:
First Name:JOYCELYN
Middle Name:T
Last Name:TORRES
Suffix:
Gender:F
Credentials:
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 691789
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-1789
Mailing Address - Country:US
Mailing Address - Phone:832-237-5656
Mailing Address - Fax:832-237-5655
Practice Address - Street 1:8203 WILLOW PLACE DR S
Practice Address - Street 2:SUITE 419
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5655
Practice Address - Country:US
Practice Address - Phone:832-237-5656
Practice Address - Fax:832-237-5655
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07-153363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical