MEDICARE: DR. FERNANDO TORRES M.D.

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	207RP1001X	Pulmonary Disease Physician	J8804	TX

General Provider Information

NPI Number	:	1205856366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERNANDO TORRES M.D.

Provider Business Mailing Address
First Line	:	5939 HARRY HINES BLVD
Second Line	:	SUITE 711
City	:	DALLAS
State	:	TX
Zip	:	75235-6246
Country	:	US
Telephone Number	:	214-879-6555
Fax Number	:	214-879-6312

Provider Business Practice Location Address
First Line	:	5939 HARRY HINES BLVD
Second Line	:	SUITE 711
City	:	DALLAS
State	:	TX
Zip	:	75235-6246
Country	:	US
Telephone Number	:	214-879-6555
Fax Number	:	214-879-6312

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

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