Provider Demographics
NPI:1134506157
Name:CHILES, EULA
Entity Type:Individual
Prefix:
First Name:EULA
Middle Name:
Last Name:CHILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EULA
Other - Middle Name:MAE
Other - Last Name:CHILES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8811 BOONE RD APT 211
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1670
Mailing Address - Country:US
Mailing Address - Phone:832-748-1063
Mailing Address - Fax:281-741-5500
Practice Address - Street 1:8811 BOONE RD APT 211
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1670
Practice Address - Country:US
Practice Address - Phone:832-748-1063
Practice Address - Fax:281-741-5500
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker