=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053130393
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VICTORIA TORRES
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2024
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 215 REYES ST
-----------------------------------------------------
City | EDCOUCH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78538-0064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-639-2738
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 64
-----------------------------------------------------
City | EDCOUCH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78538-0064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1153154
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------