Provider Demographics
NPI:1760424840
Name:TORRES, LOUIS A (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:A
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9003 AIRPORT FWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7770
Mailing Address - Country:US
Mailing Address - Phone:817-514-5200
Mailing Address - Fax:817-514-5210
Practice Address - Street 1:5501 INDEPENDENCE PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5463
Practice Address - Country:US
Practice Address - Phone:972-596-1747
Practice Address - Fax:972-985-9775
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2011-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2841207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102589201Medicaid
TX110129395OtherRAILROAD MEDICARE
TX102589201Medicaid
TXE04488Medicare UPIN