Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | K8532 | TX |
NPI | 1033183033 |
---|---|
Provider Name | Dr. Norman Jose Torres |
First Address | Shenandoah, TX 77380-3248 |
Second Address | Shenandoah, TX 77380 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 24/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G97851 | (02) | TX |