Provider Demographics
NPI:1942675830
Name:TORRES, CHRISTOPHER (PA-C)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:DEFENSE MEDICAL READINESS TRAINING INSTITUTE (DMRTI)
Mailing Address - Street 2:4270 GORGAS CIRCLE, BLDG. 1070
Mailing Address - City:JBSA FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-2738
Mailing Address - Country:US
Mailing Address - Phone:210-413-4994
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-539-9582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-03
Last Update Date:2020-11-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant