Provider Demographics
NPI:1861495541
Name:TORO, HUGO M (MD)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:M
Last Name:TORO
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 1:21660 KINGSLAND BLVD
Mailing Address - Street 2:# 300
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2511
Mailing Address - Country:US
Mailing Address - Phone:281-398-8008
Mailing Address - Fax:281-398-8010
Practice Address - Street 1:21660 KINGSLAND BLVD STE 300
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2511
Practice Address - Country:US
Practice Address - Phone:281-398-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2020-07-29
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-22
Provider Licenses
StateLicense IDTaxonomies
TXK4275207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113446206Medicaid
TXG56164Medicare UPIN
TX00354WMedicare PIN