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NPI Code Detail

MEDICARE: ROBERT WELEBA R.N.

MEDICARE:   ROBERT  WELEBA  R.N.
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
1251G00000XCommunity Based Hospice Care AgencyTX

General Provider Information

NPI Number : 1679994669
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT WELEBA R.N.
Provider Business Mailing Address
First Line : 2015 E. LAMAR BLVD
Second Line : SUITE 100
City : ARLINGTON
State : TX
Zip : 76006-7350
Country : US
Telephone Number : 817-203-2900
Fax Number : 817-203-2902
Provider Business Practice Location Address
First Line : 2015 E. LAMAR BLVD
Second Line : SUITE 100
City : ARLINGTON
State : TX
Zip : 76006-7350
Country : US
Telephone Number : 817-203-2900
Fax Number : 817-203-2902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2013
Last Update Date : 12/18/2013

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