Healthcare Provider Details

I. General information

NPI: 1306040902
Provider Name (Legal Business Name): MARTHA CECILIA YANCI TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19600 E ROSS ST
TAHLEQUAH OK
74464-0545
US

IV. Provider business mailing address

6120 S YALE AVE STE 1210
TULSA OK
74136-4241
US

V. Phone/Fax

Practice location:
  • Phone: 539-234-2169
  • Fax: 539-234-2251
Mailing address:
  • Phone: 918-888-5211
  • Fax: 918-888-5270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number58510
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number39431
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number60082287
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number103755
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberBP1-0022194
License Number StateTX

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2772886936
Identifier TypeOTHER
Identifier State
Identifier IssuerMYUTMB 2772886936-COMMERCIAL NUMBER
# 2
IdentifierENROLLED
Identifier TypeMEDICAID
Identifier StateMN
Identifier Issuer
# 3
IdentifierP00645881
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerMEDICARE, RAILROAD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: