Individual
ROBERTA WELLS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
17207 KUYKENDAHL RD, SPRING, TX 77379-8423
(832) 698-5320
Mailing address
17207 KUYKENDAHL RD, SPRING, TX 77379-8423
(832) 698-5320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
546117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
546117
NURSING LICENSE
TX
Enumeration date
05/10/2006
Last updated
07/08/2007
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