NPI Code Details Logo

NPI 1629918321

NPI 1629918321 : EVELYN MENESES LVN : ROCKWALL, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629918321
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EVELYN MENESES LVN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/31/2026
-----------------------------------------------------
    Last Update Date     |    03/31/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3144 HORIZON RD 
-----------------------------------------------------
    City                 |    ROCKWALL
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75032-7045
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    972-771-1171
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    108 LONGHORN CT 
-----------------------------------------------------
    City                 |    FORNEY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75126-4719
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    164X00000X
-----------------------------------------------------
    Taxonomy Name        |    Licensed Vocational Nurse
-----------------------------------------------------
    License Number       |    1214117
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.