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NPI Code Detail

MEDICARE: RACHAEL RENAE TORRES

MEDICARE:   RACHAEL RENAE TORRES
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
11041C0700XClinical Social Worker104457TX

General Provider Information

NPI Number : 1356191795
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL RENAE TORRES
Provider Business Mailing Address
First Line : 701 E 15TH ST STE 101
Second Line :
City : PLANO
State : TX
Zip : 75074-0708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 E 15TH ST STE 101
Second Line :
City : PLANO
State : TX
Zip : 75074-0708
Country : US
Telephone Number : 972-872-8540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2024
Last Update Date : 03/26/2024

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Directions to “ RACHAEL RENAE TORRES ” Practice Location

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