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Individual
MONIKA Y WELBORN
Active
Individual
MONIKA Y WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145723603
—
TX
05
—
184483901
—
TX
05
—
184483902
—
TX
05
—
184483904
—
TX
05
—
184483905
—
TX
01
—
8333ND
BLUE CROSS BLUE SHIELD
TX
01
—
8Y1173
BCBS
TX
01
—
P01070712
RR MEDICARE
TX
Enumeration date
11/08/2006
Last updated
11/20/2013
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