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NPI Code Detail

MEDICARE: OLYMPIA C TORRES MA, MS

MEDICARE: OLYMPIA C TORRES MA, MS
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
1101YP2500XProfessional Counselor80723TX

General Provider Information

NPI Number : 1649114208
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLYMPIA C TORRES MA, MS
Provider Business Mailing Address
First Line : 12035 STONEY BRG
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3982
Country : US
Telephone Number : 210-325-0106
Fax Number : 210-325-0106
Provider Business Practice Location Address
First Line : 12035 STONEY BRG
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3982
Country : US
Telephone Number : 210-325-0106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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