Provider Demographics
NPI:1497902654
Name:CADENA, ELVIRA JENNIE
Entity Type:Individual
Prefix:MS
First Name:ELVIRA
Middle Name:JENNIE
Last Name:CADENA
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:PO BOX 390
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:TX
Mailing Address - Zip Code:78124-0390
Mailing Address - Country:US
Mailing Address - Phone:830-914-3371
Mailing Address - Fax:830-914-3371
Practice Address - Street 1:326 W. SEGUIN STREET
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:TX
Practice Address - Zip Code:78124-0390
Practice Address - Country:US
Practice Address - Phone:830-914-3371
Practice Address - Fax:830-914-3371
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide