Provider Demographics
NPI:1184040768
Name:SISK, CELINA GONZALES
Entity Type:Individual
Prefix:MRS
First Name:CELINA
Middle Name:GONZALES
Last Name:SISK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15914 ARAPAHO BEND LN
Mailing Address - Street 2:ARAPAHO BEND LANE
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5959
Mailing Address - Country:US
Mailing Address - Phone:832-367-5282
Mailing Address - Fax:
Practice Address - Street 1:15914 ARAPAHO BEND LN
Practice Address - Street 2:ARAPAHO BEND LANE
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5959
Practice Address - Country:US
Practice Address - Phone:832-367-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN