Organization
ELISABETH NOELKE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH NOELKE M.D. (PHYSICIAN)
(325) 617-9065
Entity
Organization
Contact information
Practice address
12 E TWOHIG AVE, SAN ANGELO, TX 76903-6433
(325) 617-9065
Mailing address
12 E TWOHIG AVE, SAN ANGELO, TX 76903-6433
(325) 617-9065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J0164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025SJ
BC/BS
—
05
—
111604802
—
TX
05
—
211238501
—
TX
01
—
8F22613
MEDICARE PTAN RENDERING NPI
TX
Enumeration date
07/23/2009
Last updated
10/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us