Basic Information
Provider Information
NPI: 1891941993
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRIJOS
FirstName: JOSE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 66308
Address2:  
City: HOUSTON
State: TX
PostalCode: 772666308
CountryCode: US
TelephoneNumber: 8325485000
FaxNumber: 7135593255
Practice Location
Address1: 4301 GARTH RD # 306400
Address2:  
City: BAYTOWN
State: TX
PostalCode: 775213153
CountryCode: US
TelephoneNumber: 8325485000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/08/2008
LastUpdateDate: 12/04/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XQ2861TXY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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