Healthcare Provider Details

I. General information

NPI: 1104017987
Provider Name (Legal Business Name): MARIKA ELINA ESKOLA RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 EMERALD BLVD
SOUTHLAKE TX
76092
US

IV. Provider business mailing address

909 EMERALD BLVD
SOUTHLAKE TX
76092
US

V. Phone/Fax

Practice location:
  • Phone: 817-421-6050
  • Fax: 817-421-6050
Mailing address:
  • Phone: 214-697-0311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number686090
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: