Individual
MRS. DONNA WELFEL MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP
Contact information
Practice address
2413 MEMORIAL PKWY, PORTLAND, TX 78374-3209
(361) 643-4546
(361) 643-7986
Mailing address
1731 W WHEELER, ARANSAS PASS, TX 78336
(361) 758-5326
(361) 758-2137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
518553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112554401
—
TX
01
—
813759
BCBS
TX
Enumeration date
08/21/2006
Last updated
06/25/2008
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