Individual
AMANDA DELISE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DRIVE, JBSA FORT SAM HOUSTON, TX 78234
(561) 358-3192
Mailing address
5823 RUE PICASSO, CONVERSE, TX 78109-3192
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DR.0074662
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2023
Last updated
02/11/2025
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