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Individual

MANUEL ARISTO TORRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1110 W WILLIAM CANNON, SUITE 502, AUSTIN, TX 78745-5460
(512) 474-2660
(512) 474-2170
Mailing address
1110 W WILLIAM CANNON, SUITE 502, AUSTIN, TX 78745-5460
(512) 474-2660
(512) 474-2170

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H4853
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D06K
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/23/2007
Last updated
07/09/2007
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