Basic Information
Provider Information
NPI: 1437316189
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRES
FirstName: ANN
MiddleName: M.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1819 PARK HIGHLAND WAY
Address2:  
City: ARLINGTON
State: TX
PostalCode: 760125433
CountryCode: US
TelephoneNumber: 4695562001
FaxNumber:  
Practice Location
Address1: 4441 E KINGS CANYON RD
Address2:  
City: FRESNO
State: CA
PostalCode: 937023604
CountryCode: US
TelephoneNumber: 5596009040
FaxNumber: 5596009135
Other Information
ProviderEnumerationDate: 05/20/2008
LastUpdateDate: 06/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084P0800XA148644CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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