Provider Demographics
NPI:1487755633
Name:TORRES, EMILIO MARIO (MD)
Entity type:Individual
Prefix:DR
First Name:EMILIO
Middle Name:MARIO
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 NORTH INTERSTATE HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2203
Mailing Address - Country:US
Mailing Address - Phone:512-476-1941
Mailing Address - Fax:512-478-7499
Practice Address - Street 1:3205 NORTH INTERSTATE HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2203
Practice Address - Country:US
Practice Address - Phone:512-476-1941
Practice Address - Fax:512-478-7499
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7240207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00FS92OtherBLUE CROSS/BLUE SHIELD NU
TXC22729Medicare ID - Type UnspecifiedMEDICARE NUMBER