Provider Demographics
NPI:1154426005
Name:OSCAR C AND ROSA A TORRES PA
Entity type:Organization
Organization Name:OSCAR C AND ROSA A TORRES PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNERMEMBER
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-569-2233
Mailing Address - Street 1:600 S RED RIVER EXPY
Mailing Address - Street 2:
Mailing Address - City:BURKBURNETT
Mailing Address - State:TX
Mailing Address - Zip Code:76354-3705
Mailing Address - Country:US
Mailing Address - Phone:940-569-2233
Mailing Address - Fax:940-569-0200
Practice Address - Street 1:600 S RED RIVER EXPY
Practice Address - Street 2:
Practice Address - City:BURKBURNETT
Practice Address - State:TX
Practice Address - Zip Code:76354-3705
Practice Address - Country:US
Practice Address - Phone:940-569-2233
Practice Address - Fax:940-569-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0077MWOtherBCBSTX
TX0077MWOtherBCBSTX