Provider Demographics
NPI:1487478319
Name:TORRES VELAZQUEZ, JULISSA YENIS (DC)
Entity type:Individual
Prefix:
First Name:JULISSA
Middle Name:YENIS
Last Name:TORRES VELAZQUEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6907 HAYDEN DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3138
Mailing Address - Country:US
Mailing Address - Phone:787-579-0810
Mailing Address - Fax:
Practice Address - Street 1:8527 VILLAGE DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5507
Practice Address - Country:US
Practice Address - Phone:210-960-9000
Practice Address - Fax:210-702-3441
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor