Provider Demographics
NPI:1346947264
Name:SEGURA ROMERO, LIENS
Entity Type:Individual
Prefix:
First Name:LIENS
Middle Name:
Last Name:SEGURA ROMERO
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 1:18037 FM 529 RD STE C
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2243
Mailing Address - Country:US
Mailing Address - Phone:281-861-5180
Mailing Address - Fax:281-861-5928
Practice Address - Street 1:18037 FM 529 RD STE C
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2243
Practice Address - Country:US
Practice Address - Phone:281-861-5180
Practice Address - Fax:281-861-5928
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX943193163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse