Provider Demographics
NPI:1962736686
Name:VELA, ELIZABETH CISNEROS (CNA)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:CISNEROS
Last Name:VELA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20251 BARON BROOK DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1876
Mailing Address - Country:US
Mailing Address - Phone:832-887-8827
Mailing Address - Fax:
Practice Address - Street 1:20251 BARON BROOK DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1876
Practice Address - Country:US
Practice Address - Phone:832-887-8827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA8352858376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide