Individual
NOEL DAVID TORRES ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 W 4TH ST, COOKEVILLE, TN 38501-2488
(931) 372-0405
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4175
(816) 404-0003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
67759
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q082356
—
TN
Enumeration date
04/04/2016
Last updated
09/12/2023
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