Provider Demographics
NPI:1609210574
Name:TORRES, EDGAR ALFREDO
Entity Type:Individual
Prefix:MR
First Name:EDGAR
Middle Name:ALFREDO
Last Name:TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:EDGAR
Other - Middle Name:ALFREDO
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNIM
Mailing Address - Street 1:16611 SIR WILLIAM DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7431
Mailing Address - Country:US
Mailing Address - Phone:713-828-8688
Mailing Address - Fax:713-581-6951
Practice Address - Street 1:5420 WEST LOOP S
Practice Address - Street 2:STE. 3100
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2107
Practice Address - Country:US
Practice Address - Phone:713-581-6950
Practice Address - Fax:713-581-6951
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other