Healthcare Provider Details

I. General information

NPI: 1013017961
Provider Name (Legal Business Name): CATHERINE DIANE TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 W LONG ST
DIGHTON KS
67839-5700
US

IV. Provider business mailing address

444 W LONG ST
DIGHTON KS
67839-5700
US

V. Phone/Fax

Practice location:
  • Phone: 620-397-5316
  • Fax: 620-397-2264
Mailing address:
  • Phone: 620-397-5316
  • Fax: 620-397-2264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number95360
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number55164
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number04-12345
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number17696
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: