Raymond Torrecampo, PA-C
Physician Assistant, Medical in Conroe, TX. Individual provider (NPI-1).
NPI number1164052213
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1164052213
- Entity type
- Individual (NPI-1)
- Name
- Mr. Raymond Torrecampo
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA14805 | TX | Yes |
| 363A00000X | Physician Assistant | PA14805 | TX | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
603 S Conroe Medical Dr Ste 140Conroe, TX 77304-5395
Phone 936-978-0466 · Fax 936-978-0469
Mailing address
603 S Conroe Medical Dr Ste 140Conroe, TX 77304-5395
Phone 936-978-0466 · Fax 936-978-0469
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