Healthcare Provider Details

I. General information

NPI: 1275819328
Provider Name (Legal Business Name): JESUS ALFREDO TORRES PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 SINGING OAKS
SPRING BRANCH TX
78070-6508
US

IV. Provider business mailing address

13722 EMBASSY ROW
SAN ANTONIO TX
78216-2000
US

V. Phone/Fax

Practice location:
  • Phone: 830-632-5740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA07496
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPA07496
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: