Provider Demographics
NPI:1801672159
Name:TORRES, JESSICA VIRGINIA (REEGT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:VIRGINIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:REEGT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:GALVAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JESSICA V TORRES
Mailing Address - Street 1:13211 BELLWICK ARBOR TRCE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-1776
Mailing Address - Country:US
Mailing Address - Phone:915-479-2691
Mailing Address - Fax:
Practice Address - Street 1:9811 W CHARLESTON BLVD STE 2-641
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7528
Practice Address - Country:US
Practice Address - Phone:855-864-4322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic