Provider Demographics
NPI:1932851391
Name:VARGAS, PATRICIA TORRE (APRN AGACNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:TORRE
Last Name:VARGAS
Suffix:
Gender:F
Credentials:APRN AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13656 BRETON RIDGE ST # A&H
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-6081
Mailing Address - Country:US
Mailing Address - Phone:281-429-8780
Mailing Address - Fax:281-763-7930
Practice Address - Street 1:13656 BRETON RIDGE ST
Practice Address - Street 2:A&H
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6081
Practice Address - Country:US
Practice Address - Phone:281-429-8780
Practice Address - Fax:281-763-7930
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1068784363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner