MEDICARE: JOANNE MARIE TORRES PA-C

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
1	363A00000X	Physician Assistant	PA14594	TX

General Provider Information

NPI Number	:	1306382460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE MARIE TORRES PA-C

Provider Business Mailing Address
First Line	:	1506 S LONE STAR WAY STE 1
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4977
Country	:	US
Telephone Number	:	956-731-0409
Fax Number	:	956-322-4092

Provider Business Practice Location Address
First Line	:	1506 S LONE STAR WAY STE 1
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4977
Country	:	US
Telephone Number	:	956-731-0409
Fax Number	:	956-322-4092

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2017
Last Update Date	:	04/14/2023

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