Healthcare Provider Details

I. General information

NPI: 1184608028
Provider Name (Legal Business Name): CARLOS MANUEL TORRES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CARLOS MANUEL TORRES MARCOS M.D.

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 LAS COLINAS BLVD E SUITE 1316
IRVING TX
75039-5510
US

IV. Provider business mailing address

330 LAS COLINAS BLVD E SUITE 1316
IRVING TX
75039-5510
US

V. Phone/Fax

Practice location:
  • Phone: 972-816-3928
  • Fax:
Mailing address:
  • Phone: 972-816-3928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberD0063268
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number15171R
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME94401
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberUNKNOWN
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number043349
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberDR-43589
License Number StateCO
# 7
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number40329
License Number StateTN
# 8
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number27857
License Number StateSC
# 9
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD057476L
License Number StatePA
# 10
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number10219
License Number StateNV
# 11
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberTM2005-0618
License Number StateNM
# 12
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number2005-01193
License Number StateNC
# 13
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberK5230
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: