Healthcare Provider Details

I. General information

NPI: 1932851391
Provider Name (Legal Business Name): PATRICIA TORRE VARGAS APRN AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13656 BRETON RIDGE ST A&H
HOUSTON TX
77070-6081
US

IV. Provider business mailing address

13656 BRETON RIDGE ST # A&H
HOUSTON TX
77070-6081
US

V. Phone/Fax

Practice location:
  • Phone: 281-429-8780
  • Fax: 281-763-7930
Mailing address:
  • Phone: 281-429-8780
  • Fax: 281-763-7930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1068784
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1068784
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: