Provider Demographics
NPI:1205533825
Name:DE LEON, LIEZL ARALAR (RN)
Entity type:Individual
Prefix:
First Name:LIEZL
Middle Name:ARALAR
Last Name:DE LEON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LIEZL
Other - Middle Name:DE LEON
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6723 BISCAY HBR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2575
Mailing Address - Country:US
Mailing Address - Phone:210-254-4089
Mailing Address - Fax:
Practice Address - Street 1:6723 BISCAY HBR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2575
Practice Address - Country:US
Practice Address - Phone:210-254-4089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX787248163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency