Individual
MICHAEL JOSEPH DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18646 N LYFORD DR, KATY, TX 77449-8461
(562) 756-6309
Mailing address
18646 N LYFORD DR, KATY, TX 77449-8461
(562) 756-6309
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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