Provider Demographics
NPI:1013224930
Name:LEWIS, NEILA HACINTH (RN)
Entity Type:Individual
Prefix:MRS
First Name:NEILA
Middle Name:HACINTH
Last Name:LEWIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19943 CYPRESSWOOD CRK
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-3092
Mailing Address - Country:US
Mailing Address - Phone:281-528-7881
Mailing Address - Fax:281-528-7881
Practice Address - Street 1:19943 CYPRESSWOOD CRK
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-3092
Practice Address - Country:US
Practice Address - Phone:281-528-7881
Practice Address - Fax:281-528-7881
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX462906163W00000X, 3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider