Individual ProviderMichelle TorresFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1209 College Ave., Fort Worth, TX 76104-4516(817) 348-9569(817) 740-8400PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Torres is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1316964919Provider TypeIndividualFull NameTorres, MichelleCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/17/2006Last Updated6/22/2012Contact InformationPractice LocationPractice Address1209 College Ave., Fort Worth, TX 76104-4516Phone(817) 348-9569Fax(817) 348-9579Mailing LocationMailing AddressPO Box 961205, Fort Worth, TX 76161-1205Phone(817) 740-8400Fax(817) 348-9579Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseL4764TexasProvider IdentifiersIDDescriptionIssuerIDP00055218DescriptionOtherIssuerRAILROAD MEDICAREID159471501DescriptionMedicaidIssuerUnlistedTexas