Provider Demographics
NPI:1679050058
Name:CONCEPCION, ERIKA L (LVN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:L
Last Name:CONCEPCION
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16755 ELLA BLVD APT 18
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-4201
Mailing Address - Country:US
Mailing Address - Phone:832-359-6172
Mailing Address - Fax:
Practice Address - Street 1:16755 ELLA BLVD APT 18
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-4201
Practice Address - Country:US
Practice Address - Phone:832-359-6172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX334388164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse