Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-06-02
- Last updated
- 2025-09-11
Licenses
- License TX
- 13071
Location
- Practice location
- 1809 N LOOP 281
- City
- LONGVIEW TX
- Postal code
- 75604
- Phone
- 903-297-1407
Organization contact
- Name
- LORENZO TORRES
- Title
- NEW STORE ENROLLMENTS
- Phone
- 8479164463
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.