Provider Demographics
NPI:1780743922
Name:LAURA TORRES BARRE M D P A
Entity type:Organization
Organization Name:LAURA TORRES BARRE M D P A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES-BARRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-997-3717
Mailing Address - Street 1:8603 BROADWAY ST
Mailing Address - Street 2:SUITE #101
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8171
Mailing Address - Country:US
Mailing Address - Phone:281-997-3717
Mailing Address - Fax:281-997-3817
Practice Address - Street 1:8603 BROADWAY ST
Practice Address - Street 2:SUITE #101
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8171
Practice Address - Country:US
Practice Address - Phone:281-997-3717
Practice Address - Fax:281-997-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6201332B00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86NBOtherBCBS
TX86NBOtherBCBS
TXH69292Medicare UPIN