Healthcare Provider Details

I. General information

NPI: 1881459816
Provider Name (Legal Business Name): ELIZABETH DOBBS WELFEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 E RAILROAD ROW
GIDDINGS TX
78942-2639
US

IV. Provider business mailing address

16027 LAURA BETH DR
HOCKLEY TX
77447-7707
US

V. Phone/Fax

Practice location:
  • Phone: 979-542-0710
  • Fax:
Mailing address:
  • Phone: 512-364-5563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1118817
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: