Provider Demographics
NPI:1932777927
Name:TORRES, TARA (NUTRITIONIST)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 VINTAGE PARK BLVD STE W733
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4095
Mailing Address - Country:US
Mailing Address - Phone:832-800-3223
Mailing Address - Fax:832-990-1162
Practice Address - Street 1:118 VINTAGE PARK BLVD STE W733
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4095
Practice Address - Country:US
Practice Address - Phone:832-800-3223
Practice Address - Fax:832-990-1162
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist