Maria Precious Tangan Torres, MD | |
2100 Wilborn Ave, South Boston, VA 24592-1628 | |
(434) 517-8022 | |
(434) 517-8022 |
Full Name | Maria Precious Tangan Torres |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2100 Wilborn Ave, South Boston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386612877 | NPI | - | NPPES |
241073 | Other | VA | BCBS |
006714978 | Medicaid | VA | |
44904 | Other | VA | OPTIMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101054151 (Virginia) | Primary |
Entity Name | Halifax Regional Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588668842 PECOS PAC ID: 4587572805 Enrollment ID: O20040607000050 |
Mailing Address | Practice Location Address |
---|---|
Maria Precious Tangan Torres, MD 100 Vicar Pl, Danville, VA 24540-1396 Ph: (434) 836-5676 | Maria Precious Tangan Torres, MD 2100 Wilborn Ave, South Boston, VA 24592-1628 Ph: (434) 517-8022 |
Samantha Y King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-575-1336 Fax: 434-575-1349 | |
Dr. Candace Renee Clocker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022 Fax: 434-517-8370 | |
Nonna Lyn M Ebalo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 |