Provider Demographics
NPI:1801987474
Name:TORRES, LORA L (MD)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:L
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 CYPRESS CREEK PKWY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3531
Mailing Address - Country:US
Mailing Address - Phone:281-440-4142
Mailing Address - Fax:281-440-5649
Practice Address - Street 1:3845 CYPRESS CREEK PKWY
Practice Address - Street 2:SUITE 180
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3615
Practice Address - Country:US
Practice Address - Phone:281-440-4142
Practice Address - Fax:281-440-5649
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL1221208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151709602Medicaid
H31963Medicare UPIN