Provider Demographics
NPI:1871918326
Name:ECHOLS, ILLIANA ERIN
Entity type:Individual
Prefix:
First Name:ILLIANA
Middle Name:ERIN
Last Name:ECHOLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 PARK BEND DRIVE
Mailing Address - Street 2:BUILDING 2 SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758
Mailing Address - Country:US
Mailing Address - Phone:512-836-5665
Mailing Address - Fax:512-997-9092
Practice Address - Street 1:2200 PARK BEND DRIVE
Practice Address - Street 2:BUILDING 2 SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758
Practice Address - Country:US
Practice Address - Phone:512-836-5665
Practice Address - Fax:512-997-9092
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other