Healthcare Provider Details

I. General information

NPI: 1396797577
Provider Name (Legal Business Name): CEDAR NILES INTERNAL MEDICINE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6053 MAIN ST SUITE 230
THE COLONY TX
75056-2062
US

IV. Provider business mailing address

6053 MAIN ST SUITE 230
THE COLONY TX
75056-2062
US

V. Phone/Fax

Practice location:
  • Phone: 214-619-1770
  • Fax:
Mailing address:
  • Phone: 214-619-1770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LORINDA K TORRES
Title or Position: OWNER
Credential: M.D.
Phone: 214-619-1770