MEDICARE: DR. ELVIS TORRES D.O.

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	207V00000X	Obstetrics & Gynecology Physician	K1102	TX

General Provider Information

NPI Number	:	1225146491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELVIS TORRES D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1139
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77402-1139
Country	:	US
Telephone Number	:	281-496-2496
Fax Number	:	281-496-2420

Provider Business Practice Location Address
First Line	:	12000 RICHMOND AVE
Second Line	:	SUITE 220
City	:	HOUSTON
State	:	TX
Zip	:	77082-2431
Country	:	US
Telephone Number	:	281-496-2496
Fax Number	:	281-496-2420

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. ELVIS TORRES D.O.” Practice Location

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