Phyllis Jean Ellena in San Antonio - Psychiatric/mental Health, Adult
Phyllis Jean Ellena - NPI 1740450642
Phyllis Jean Ellena is a Psychiatric/mental Health, Adult in San Antonio, Texas. Phyllis Jean Ellena practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Phyllis Jean Ellena is 1740450642. The last update date is 2008-03-06.
Phyllis Jean Ellena's current location address is 4026 Parkway Dr, San Antonio, Texas. You can contact this provider via phone number 2102195135 and fax number 2104347039. The mailing address for Phyllis Jean Ellena is 4026 Parkway Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Jean Ellena |
|---|---|
| Address | 4026 Parkway Dr, San Antonio, Texas |
| Phone Number | 2102195135 |
| Fax Number | 2104347039 |
| Sole Proprietor | Y |
| Credentials | ADVANCED P |
NPI Number Detail
| NPI Number | 1740450642 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2008-03-06 |
Provider Mailing Address Detail
| Address | 4026 Parkway Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782282311 |
| Phone Number | 2102195135 |
| Fax Number | 2104347039 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | 439625 |
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Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
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What is the unique identifier code issued to Phyllis Jean Ellena by the Centers for Medicare & Medicaid Services?
The Phyllis Jean Ellena has been assigned the NPI (National Provider Identifier) 1740450642. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Phyllis Jean Ellena's facilities are situated?
The facilities of Phyllis Jean Ellena are physically located at the following address: 4026 Parkway Dr, San Antonio, TX, 782282311.
What is the area of specialization for Phyllis Jean Ellena, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phyllis Jean Ellena is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this area of expertise is 364Sp0809X.
When did Phyllis Jean Ellena receive its 1740450642 assignment?
The Phyllis Jean Ellena was assigned its 1740450642 on 2008-03-06, which is the date when this unique identifier was issued to the organization.
As of what date were the Phyllis Jean Ellena's details last updated?
The information pertaining to the Phyllis Jean Ellena, including its address, specialty, and other details, was most recently updated on 2008-03-06.
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