Individual
JEAN C TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 237-1252
(337) 237-0733
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 200, LAFAYETTE, LA 70508-8800
(337) 988-8803
(337) 988-8805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204482
LA
208000000X
Pediatrics Physician
253214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03128627
—
NY
05
—
2180029
—
LA
Enumeration date
05/27/2008
Last updated
09/24/2012
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