Elizabeth Avila Santiago | Tyler, TX • PECOS Search

Elizabeth Avila Santiago

Licensed Vocational Nurse

Nursing Service Providers

2911 Walton Rd, Tyler, TX 75701-0733

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth Avila Santiago does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1972087641
Provider Type
Individual
Full Name
Avila Santiago, Elizabeth
Gender
Female

Sole Proprietor
No
Enumeration Date
9/19/2018
Last Updated
9/19/2018

Contact Information

Practice Location

2911 Walton Rd, Tyler, TX 75701-0733

Unlisted Fax

Mailing Location

2911 Walton Rd, Tyler, TX 75701-0733

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164X00000X Primary	Description Licensed Vocational Nurse Nursing Service Providers	License 344866 Texas