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NPI Code Detail

MEDICARE: TOMARA LENA TORRES FNP-C

MEDICARE:   TOMARA LENA TORRES  FNP-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
1363LF0000XFamily Nurse PractitionerAP137954TX

General Provider Information

NPI Number : 1760969521
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMARA LENA TORRES FNP-C
Provider Business Mailing Address
First Line : 9744 KINGSMILL DR
Second Line :
City : PLANO
State : TX
Zip : 75025-5414
Country : US
Telephone Number : 214-566-5673
Fax Number :
Provider Business Practice Location Address
First Line : 5601 BRIDGE ST
Second Line :
City : FT WORTH
State : TX
Zip : 76112-2384
Country : US
Telephone Number : 682-990-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2018
Last Update Date : 07/25/2018

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Directions to “ TOMARA LENA TORRES FNP-C” Practice Location

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