Provider Demographics
NPI:1952126096
Name:TORRES VILLEGA, KEVIN (FNP, APRN-BC)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:TORRES VILLEGA
Suffix:
Gender:
Credentials:FNP, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9803 HIGHWAY 242
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-4368
Mailing Address - Country:US
Mailing Address - Phone:407-693-2819
Mailing Address - Fax:
Practice Address - Street 1:9803 HIGHWAY 242
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-4368
Practice Address - Country:US
Practice Address - Phone:407-693-2819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036539363LF0000X
TX1192010363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily