Healthcare Provider Details

I. General information

NPI: 1114833449
Provider Name (Legal Business Name): ALAN TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 W INTERSTATE HWY 635
IRVING TX
75063
US

IV. Provider business mailing address

5225 LAS COLINAS BLVD APT 3049
IRVING TX
75039-4570
US

V. Phone/Fax

Practice location:
  • Phone: 972-268-9177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: