Healthcare Provider Details

I. General information

NPI: 1407855331
Provider Name (Legal Business Name): NORA UPINA TORRES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13018 WOODFOREST BLVD SUITE A
HOUSTON TX
77015-2800
US

IV. Provider business mailing address

PO BOX 841969
DALLAS TX
75284-1969
US

V. Phone/Fax

Practice location:
  • Phone: 713-455-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberF6335
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: