Provider Demographics
NPI:1811521065
Name:TORRES, DAVID JAVIER SR (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAVIER
Last Name:TORRES
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 E DEL MAR BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2448
Mailing Address - Country:US
Mailing Address - Phone:956-439-2998
Mailing Address - Fax:
Practice Address - Street 1:3311 E DEL MAR BLVD STE 207
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2448
Practice Address - Country:US
Practice Address - Phone:956-701-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4535111N00000X
TX14476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor