Provider Demographics
NPI:1477602332
Name:LUCY CERALDI
Entity Type:Organization
Organization Name:LUCY CERALDI
Other - Org Name:TEXAS FIRST ASSISTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CERALDI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:817-366-2804
Mailing Address - Street 1:PO BOX 1184
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-1184
Mailing Address - Country:US
Mailing Address - Phone:817-366-2804
Mailing Address - Fax:817-540-2503
Practice Address - Street 1:2910 WHETSTONE LN
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-4114
Practice Address - Country:US
Practice Address - Phone:817-366-2804
Practice Address - Fax:817-540-2503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX581823163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty