MEDICARE: ANA LAURA OLVERA-TORRES NP

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	207Q00000X	Family Medicine Physician	1212966	TX

General Provider Information

NPI Number	:	1487525101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA LAURA OLVERA-TORRES NP

Provider Business Mailing Address
First Line	:	2420 FM 1725 RD
Second Line	:
City	:	WILLIS
State	:	TX
Zip	:	77378-2360
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 MEDICAL PARK LN STE A
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-4975
Country	:	US
Telephone Number	:	936-500-9500
Fax Number	:

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

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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