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NPI Code Detail

MEDICARE: MRS. DONNA WELFEL MCMAHAN RN MSN FNP

MEDICARE: MRS. DONNA WELFEL MCMAHAN RN MSN FNP
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
1207Q00000XFamily Medicine Physician518553TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2813759OTHERTXBCBS

General Provider Information

NPI Number : 1629184023
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA WELFEL MCMAHAN RN MSN FNP
Provider Business Mailing Address
First Line : 1731 W WHEELER
Second Line :
City : ARANSAS PASS
State : TX
Zip : 78336
Country : US
Telephone Number : 361-758-5326
Fax Number : 361-758-2137
Provider Business Practice Location Address
First Line : 2413 MEMORIAL PKWY
Second Line :
City : PORTLAND
State : TX
Zip : 78374-3209
Country : US
Telephone Number : 361-643-4546
Fax Number : 361-643-7986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 06/25/2008

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