MEDICARE: JESUS ALFREDO TORRES PA-C

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	363A00000X	Physician Assistant	PA07496	TX
2	207Q00000X	Family Medicine Physician	PA07496	TX

General Provider Information

NPI Number	:	1275819328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESUS ALFREDO TORRES PA-C

Provider Business Mailing Address
First Line	:	13722 EMBASSY ROW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	426 SINGING OAKS
Second Line	:
City	:	SPRING BRANCH
State	:	TX
Zip	:	78070-6508
Country	:	US
Telephone Number	:	830-632-5740
Fax Number	:

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

Provider Enumeration Date	:	11/02/2011
Last Update Date	:	06/08/2026

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