Provider Demographics
NPI:1033398698
Name:SIFUENTES, LILIANA (DC)
Entity Type:Individual
Prefix:MRS
First Name:LILIANA
Middle Name:
Last Name:SIFUENTES
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 1:9005 DYER ST STE B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-1452
Mailing Address - Country:US
Mailing Address - Phone:915-751-9791
Mailing Address - Fax:915-751-0993
Practice Address - Street 1:9005 DYER ST
Practice Address - Street 2:SUITE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1452
Practice Address - Country:US
Practice Address - Phone:915-751-9791
Practice Address - Fax:915-751-0993
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor