Provider Demographics
NPI:1871462952
Name:TORRES, VANESSA (RDN)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 LYNDON B JOHNSON FWY STE B601
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1166
Mailing Address - Country:US
Mailing Address - Phone:469-619-6921
Mailing Address - Fax:800-888-9560
Practice Address - Street 1:8330 LYNDON B JOHNSON FWY STE B601
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1166
Practice Address - Country:US
Practice Address - Phone:469-619-6921
Practice Address - Fax:800-888-9560
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT92425133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered