# ELISABETH NOELKE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205066289
- **Authorized official:** ELISABETH NOELKE M.D. (PHYSICIAN)
- **Authorized official phone:** (325) 617-9065

## Contact information

- **Practice address:** 12 E TWOHIG AVE, SAN ANGELO, TX 76903-6433
- **Practice address phone:** (325) 617-9065
- **Mailing address:** 12 E TWOHIG AVE, SAN ANGELO, TX 76903-6433
- **Mailing address phone:** (325) 617-9065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | J0164 | TX | Yes |

## Other

- **Enumeration date:** 07/23/2009
- **Last updated:** 10/30/2014