Provider Demographics
NPI:1508511213
Name:BATALLAS, ESTEFANIA FERNANDA (RN)
Entity Type:Individual
Prefix:
First Name:ESTEFANIA
Middle Name:FERNANDA
Last Name:BATALLAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 SACHSE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5157
Mailing Address - Country:US
Mailing Address - Phone:713-585-1010
Mailing Address - Fax:
Practice Address - Street 1:3103 SACHSE CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5157
Practice Address - Country:US
Practice Address - Phone:713-585-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9480523163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse