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NPI Code Detail

MEDICARE: ADLAI E WELFEL LM

MEDICARE:   ADLAI E WELFEL  LM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwife99395TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295374106
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADLAI E WELFEL LM
Provider Business Mailing Address
First Line : 4910 JO ANN ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-2507
Country : US
Telephone Number : 361-813-5715
Fax Number :
Provider Business Practice Location Address
First Line : 939 AYERS ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78404-1915
Country : US
Telephone Number : 361-813-5715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2019
Last Update Date : 12/26/2019

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Directions to “ ADLAI E WELFEL LM” Practice Location

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