Individual
DR. JAVIER EDUARDO DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 COMMON DR, EL PASO, TX 79936-5922
(915) 595-4375
(915) 595-4460
Mailing address
1400 COMMON DR, EL PASO, TX 79936-5922
(915) 575-4375
(915) 575-4460
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
23961
NE
207W00000X
Ophthalmology Physician
MD2021-0139
NM
207W00000X
Ophthalmology Physician
Primary
N5007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1186648
TAX ID
TX
Enumeration date
01/09/2007
Last updated
05/13/2021
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