MEDICARE: JOSE JAVIER TORRES PEREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16639	TX

General Provider Information

NPI Number	:	1194686485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE JAVIER TORRES PEREZ

Provider Business Mailing Address
First Line	:	4340 DECATUR DR APT 5312
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-9754
Country	:	US
Telephone Number	:	979-921-0700
Fax Number	:	979-921-0455

Provider Business Practice Location Address
First Line	:	1206 11TH ST
Second Line	:
City	:	HEMPSTEAD
State	:	TX
Zip	:	77445-5260
Country	:	US
Telephone Number	:	979-921-0700
Fax Number	:	979-921-0455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/19/2025

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Directions to “ JOSE JAVIER TORRES PEREZ ” Practice Location

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