MEDICARE: WILLIAM H TORKILDSEN 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	207RC0000X	Cardiovascular Disease Physician	E2903	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	E2903	TX
3	207R00000X	Internal Medicine Physician	E2903	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740287051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM H TORKILDSEN MD

Provider Business Mailing Address
First Line	:	202 2ND ST
Second Line	:
City	:	PORT ISABEL
State	:	TX
Zip	:	78578-4100
Country	:	US
Telephone Number	:	956-943-1774
Fax Number	:	956-943-7938

Provider Business Practice Location Address
First Line	:	202 2ND ST
Second Line	:
City	:	PORT ISABEL
State	:	TX
Zip	:	78578
Country	:	US
Telephone Number	:	956-943-1774
Fax Number	:	956-943-7938

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	06/13/2024

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