| Elisabeth Noelke Md Pa | |
|
12 E Twohig Ave San Angelo TX 76903-6433 | |
| (325) 617-9065 | |
| Not Available |
| Full Name | Elisabeth Noelke Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12 E Twohig Ave, San Angelo, Texas |
| Authorized Official Name and Position | Elisabeth Noelke (PHYSICIAN) |
| Authorized Official Contact | 3256179065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Noelke Md Pa 12 E Twohig Ave San Angelo TX 76903-6433 Ph: (325) 617-9065 | Elisabeth Noelke Md Pa 12 E Twohig Ave San Angelo TX 76903-6433 Ph: (325) 617-9065 |
| NPI Number | 1205066289 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205066289 | NPI | - | NPPES |
| 211238501 | Medicaid | TX | |
| 0025SJ | Other | BC/BS | |
| 111604802 | Medicaid | TX | |
| 8F22613 | Other | TX | MEDICARE PTAN RENDERING NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J0164 (Texas) | Primary |
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