Provider Demographics
NPI:1912708819
Name:EILAND, MAXINE
Entity type:Individual
Prefix:MRS
First Name:MAXINE
Middle Name:
Last Name:EILAND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E CADDO ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-2201
Mailing Address - Country:US
Mailing Address - Phone:512-784-4682
Mailing Address - Fax:
Practice Address - Street 1:7801 N LAMAR BLVD
Practice Address - Street 2:STE F33
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1041
Practice Address - Country:US
Practice Address - Phone:512-828-3928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach