Basic Information
Provider Information
NPI: 1972530830
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRE-HILOTIN
FirstName: TEMOTEA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4046
Address2:  
City: SPRINGFIELD
State: MO
PostalCode: 658084046
CountryCode: US
TelephoneNumber: 4172695712
FaxNumber: 4172697567
Practice Location
Address1: 1000 E PRIMROSE ST
Address2:  
City: SPRINGFIELD
State: MO
PostalCode: 65807
CountryCode: US
TelephoneNumber: 4172699812
FaxNumber: 4172692129
Other Information
ProviderEnumerationDate: 06/27/2006
LastUpdateDate: 07/05/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X2018012073MOY Allopathic & Osteopathic PhysiciansPediatrics 
208000000X036121697ILN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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