Provider Demographics
NPI:1902325954
Name:TORRES, DANIEL CLARK JR (NREMT-P)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:CLARK
Last Name:TORRES
Suffix:JR
Gender:M
Credentials:NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 DRAGON FLY
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-5853
Mailing Address - Country:US
Mailing Address - Phone:210-367-7745
Mailing Address - Fax:
Practice Address - Street 1:353 RODEO DR
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6257
Practice Address - Country:US
Practice Address - Phone:830-228-4501
Practice Address - Fax:830-228-4503
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic