Provider Demographics
NPI:1306665815
Name:FELIU ALONSO, ERASMO SR (RN)
Entity type:Individual
Prefix:MR
First Name:ERASMO
Middle Name:
Last Name:FELIU ALONSO
Suffix:SR
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:ERASMO
Other - Middle Name:
Other - Last Name:FELIU ALONSO
Other - Suffix:SR
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:15422 FORMASTON DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4763
Mailing Address - Country:US
Mailing Address - Phone:832-869-0187
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR # 16875
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4257
Practice Address - Country:US
Practice Address - Phone:832-656-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1116373163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse