Most Relevant Information
Provider Data
| NPI Number: | 1003386905 |
| Provider Name: | ALITA ELENA ADAIR RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 839975 |
Most Important Dates
| Enumeration Date: | 12/04/2018 |
| Last Updated: | 12/04/2018 |
Provider Practice Location
3405 MARTHA ST
TYLER
TX
757021650
Practice Location Phone/Fax
| Phone: | 9032834692 |
| Fax: |
Provider Mailing Location
3405 MARTHA ST
TYLER
TX
757021650
Provider Mailing Phone/Fax
| Phone: | 9032834692 |
| Fax: |