Individual
CRISSY DIANE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12001 SOUTH FWY STE 302, BURLESON, TX 76028-7215
(817) 854-2210
(817) 708-2150
Mailing address
12001 SOUTH FWY STE 302, BURLESON, TX 76028-7215
(817) 854-2210
(817) 708-2150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
686739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686739
TEXAS LICENSE
TX
Enumeration date
05/07/2008
Last updated
10/20/2020
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