Provider Demographics
NPI:1316328701
Name:SOLEDAD, NELIA PAMARAN (ADMINISTRATOR)
Entity type:Individual
Prefix:MRS
First Name:NELIA
Middle Name:PAMARAN
Last Name:SOLEDAD
Suffix:
Gender:F
Credentials:ADMINISTRATOR
Other - Prefix:
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Mailing Address - Street 1:825 FAIRMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2805
Mailing Address - Country:US
Mailing Address - Phone:281-235-5948
Mailing Address - Fax:281-754-4331
Practice Address - Street 1:825 FAIRMONT PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2805
Practice Address - Country:US
Practice Address - Phone:281-235-5948
Practice Address - Fax:281-754-4331
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX544881163WD1100X, 163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis
No163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal