Provider Demographics
NPI:1356178453
Name:MARCOS, ELEANOR LEE (RN)
Entity type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:LEE
Last Name:MARCOS
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 1:12822 FALCON LEDGE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2751
Mailing Address - Country:US
Mailing Address - Phone:808-224-2944
Mailing Address - Fax:
Practice Address - Street 1:12822 FALCON LEDGE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2751
Practice Address - Country:US
Practice Address - Phone:808-224-2944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX563268163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse