Provider Demographics
NPI:1770042764
Name:TORIO, CARMILLE
Entity Type:Individual
Prefix:
First Name:CARMILLE
Middle Name:
Last Name:TORIO
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 1:15455 ELLA BLVD APT 13
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-5395
Mailing Address - Country:US
Mailing Address - Phone:832-371-0384
Mailing Address - Fax:
Practice Address - Street 1:15455 ELLA BLVD APT 13
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-5395
Practice Address - Country:US
Practice Address - Phone:832-371-0384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340764164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse