Provider Demographics
NPI:1245863828
Name:DARILEK, TARA MELISSA (RN-BSN)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:MELISSA
Last Name:DARILEK
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22615 TESS VLY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2463
Mailing Address - Country:US
Mailing Address - Phone:210-737-4715
Mailing Address - Fax:
Practice Address - Street 1:22615 TESS VLY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-2463
Practice Address - Country:US
Practice Address - Phone:210-737-4715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1035345363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner