Organization
VERNER O NELLSCH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A COLEMAN (OFFICE MANAGER)
(936) 687-5584
Entity
Organization
Contact information
Practice address
1717 HIGHWAY 59 LOOP N, LIVINGSTON, TX 77351-5703
(936) 327-8844
(936) 327-8129
Mailing address
PO BOX 1765, LIVINGSTON, TX 77351-0033
(936) 327-8844
(936) 327-8129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K7070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096317501
—
TX
Enumeration date
04/03/2007
Last updated
12/29/2010
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