Provider Demographics
NPI:1275150864
Name:GILES, ELKE (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:ELKE
Middle Name:
Last Name:GILES
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 182311
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-2311
Mailing Address - Country:US
Mailing Address - Phone:817-766-0316
Mailing Address - Fax:
Practice Address - Street 1:3725 MILL HEIGHT DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-4328
Practice Address - Country:US
Practice Address - Phone:817-766-0316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy