Healthcare Provider Details
I. General information
NPI: 1124124599
Provider Name (Legal Business Name): ROBERT E TORTI, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2006
Last Update Date: 01/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4708 ALLIANCE BLVD SUITE 785
PLANO TX
75093-5340
US
IV. Provider business mailing address
1255 CORPORATE DR THIRD FLOOR
IRVING TX
75038-2518
US
V. Phone/Fax
- Phone: 972-599-9098
- Fax: 972-283-1448
- Phone: 972-791-1224
- Fax: 877-594-5434
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
E
TORTI
Title or Position: PRESIDENT
Credential: MD
Phone: 972-283-1516