MEDICARE: DR. JANE TORGERSON MD

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	207P00000X	Emergency Medicine Physician	H8869	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81885K	OTHER	TX	BCBS THRU AEMA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8BT327	OTHER	TX	BCBS THRU SAEMA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	930084068	OTHER	TX	RAILROAD THRU AEMA

General Provider Information

NPI Number	:	1407825078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE TORGERSON MD

Provider Business Mailing Address
First Line	:	P O BOX 960160
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73196-0001
Country	:	US
Telephone Number	:	877-485-4474
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W RANDOL MILL RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2504
Country	:	US
Telephone Number	:	817-548-6202
Fax Number	:

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	05/13/2009

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