Individual
LUIS DE LA TORRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6769
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550
(956) 365-6750
(956) 365-6769
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M6097
TMB
TX
01
—
RO152154
DPS
TX
Enumeration date
08/09/2007
Last updated
08/16/2011
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