Provider Demographics
NPI:1205925112
Name:TORRES, MARCELA D (MD)
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:D
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:1500 COOPER ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2710
Practice Address - Country:US
Practice Address - Phone:682-885-4007
Practice Address - Fax:682-885-4004
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8851207RH0003X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125637100OtherFIRSTCARE PIN
TX10026583OtherAMERIGROUP PIN
TX1759205OtherFIRSTHEALTH PIN
TX00U87ZOtherBCBSTX GRP PIN
TX105473607Medicaid
TX124062OtherSUPERIOR PIN
TX7112601OtherCIGNA PIN
TX1930256OtherUHC PIN
TX7334175OtherAETNA PIN
TX85570YOtherBCBSTX IND PIN
TX7112601OtherCIGNA PIN
TX105473607Medicaid
TX125637100OtherFIRSTCARE PIN