Active NPI
Miriam M. Torres, M.D.
- Obstetrics & Gynecology Physician
- Southlake, TX
National Provider Identifier
1467528711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N1926
- Practice address
- 431 E State Highway 114 Ste 380
Southlake, TX 76092-4414 - Phone
- (817) 280-9616
- Fax
- (817) 722-6328
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | N1926 | TX | Primary |
Addresses
Primary practice location
431 E State Highway 114 Ste 380
Southlake, TX 76092-4414
Mailing address
431 E State Highway 114 Ste 380
Southlake, TX 76092-4414
Phone (817) 280-9616
Other practice location 1
220 N Park Blvd Ste 100
Grapevine, TX 76051-6900
Phone (817) 280-9616 ext. 11
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1926 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake GYN and Wellness Center, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| The University Gynecological & Obstetrical Foundation, Inc. | Past | Accepting new patients |
Locations
220 N Park Blvd
Ste 100
Grapevine, TX 76051
Phone (682) 651-5725
431 E State Highway 114
Ste 380
Southlake, TX 76092
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHFHCD/Endpoint/GHFHCD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Southlake, TX
- NPI 1649700808
-
- Specialist
- Louisville, KY
- NPI 1497700587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1467528711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 E STATE HIGHWAY 114 STE 380",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760924414",
"telephone_number": "817-280-9616",
"fax_number": "817-722-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 E STATE HIGHWAY 114 STE 380",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760924414",
"telephone_number": "817-280-9616",
"fax_number": "817-722-6328"
}
],
"practiceLocations": [
{
"address_1": "220 N Park Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Grapevine",
"state": "TX",
"postal_code": "760516900",
"country_code": "US",
"telephone_number": "817-280-9616 x11",
"fax_number": "817-722-6328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES",
"first_name": "MIRIAM",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N1926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.