Provider Demographics
NPI:1457838930
Name:JAUREGUI, EILEEN PILAR (RN)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:PILAR
Last Name:JAUREGUI
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 1:20555 NIXON RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-0018
Mailing Address - Country:US
Mailing Address - Phone:956-408-5404
Mailing Address - Fax:
Practice Address - Street 1:20555 NIXON RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-0018
Practice Address - Country:US
Practice Address - Phone:956-408-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX766957163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1790847531Medicaid