| Dr Alejandro Javier De La Torre, MD | |
| 1500 Cooper St, Fort Worth, TX 76104-2710 | |
| (682) 885-7960 | |
| (682) 885-1327 | 
| Full Name | Dr Alejandro Javier De La Torre | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Endocrinology | 
| Location | 1500 Cooper St, Fort Worth, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720285604 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | P5614 (Texas) | Secondary | 
| 2080P0205X | Pediatrics - Pediatric Endocrinology | P5614 (Texas) | Primary | 
| Entity Name | Cook Childrens Physician Network | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Alejandro Javier De La Torre, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Dr Alejandro Javier De La Torre, MD 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-7960 | 
| Dr. Heidi Danielle Tomlinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Department Of Neonatology, Fort Worth, TX 76104 Phone: 817-250-2892 | |
| Rachel Marie Souers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6726 Fax: 682-885-6729 | |
| Gregory Barker,  Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2140 Fax: 817-332-2506 | |
| Anne Marcum Kirk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
| Hina Aziz Rehman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014 | |
| Khalid H Syed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
| Dr. Phuong Thi Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 |