Provider Demographics
NPI:1356447718
Name:ROBERT E. TORTI, MD, PA
Entity type:Organization
Organization Name:ROBERT E. TORTI, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:TORTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-283-1516
Mailing Address - Street 1:PO BOX 948
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75123-0948
Mailing Address - Country:US
Mailing Address - Phone:972-388-1495
Mailing Address - Fax:469-383-3369
Practice Address - Street 1:2625 BOLTON BOONE DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2011
Practice Address - Country:US
Practice Address - Phone:972-283-1516
Practice Address - Fax:972-283-1448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00H84NOtherMEDICARE GROUP
TX00Z057OtherMEDICARE GROUP
TX082955802Medicaid
TXPENDINGMedicaid
TX0028RHOtherBCBS GROUP
TX0028RHOtherBCBS GROUP