Individual
DR. JAVIER EDUARDO DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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