Provider Demographics
NPI:1114275500
Name:ECHEANDIA, NATALLIA (RMA)
Entity Type:Individual
Prefix:
First Name:NATALLIA
Middle Name:
Last Name:ECHEANDIA
Suffix:
Gender:F
Credentials:RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MEDICAL CENTER BLVD
Mailing Address - Street 2:STE 213
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2888
Mailing Address - Country:US
Mailing Address - Phone:936-539-8155
Mailing Address - Fax:936-539-8118
Practice Address - Street 1:100 MEDICAL CENTER BLVD
Practice Address - Street 2:STE 213
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2888
Practice Address - Country:US
Practice Address - Phone:936-539-8155
Practice Address - Fax:936-539-8118
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0-755-441-3OtherCERTIFICATE NUMBER
125510OtherAMERICAN REGISTRY OF MEDICAL ASSISTANTS