Provider Demographics
NPI:1265059109
Name:TORRES, SAMANTHA SNOW (RN)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:SNOW
Last Name:TORRES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:SNOW
Other - Last Name:STROTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14327 BROOK HOLLOW BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3805
Mailing Address - Country:US
Mailing Address - Phone:713-398-1289
Mailing Address - Fax:
Practice Address - Street 1:14327 BROOK HOLLOW BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3805
Practice Address - Country:US
Practice Address - Phone:713-398-1289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX962517163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse