Provider Demographics
NPI:1538661798
Name:ASUNCION, LOUELLA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:LOUELLA
Middle Name:MARIE
Last Name:ASUNCION
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 1:21302 ENCINO CMNS APT 4104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2733
Mailing Address - Country:US
Mailing Address - Phone:361-429-9000
Mailing Address - Fax:
Practice Address - Street 1:21302 ENCINO CMNS APT 4104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2733
Practice Address - Country:US
Practice Address - Phone:361-429-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX878114163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse