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NPI Code Detail

MEDICARE: BETSABE TORRES PHOODEJ PA

MEDICARE: BETSABE TORRES PHOODEJ PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1174167506
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETSABE TORRES PHOODEJ PA
Provider Business Mailing Address
First Line : 8112 SPRING VALLEY RD
Second Line :
City : DALLAS
State : TX
Zip : 75240-3829
Country : US
Telephone Number : 214-884-1705
Fax Number :
Provider Business Practice Location Address
First Line : 708 W SPRING VALLEY RD
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-7216
Country : US
Telephone Number : 214-570-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2019
Last Update Date : 05/07/2026

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Directions to “ BETSABE TORRES PHOODEJ PA” Practice Location

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