Individual
BIANELLY VALDEZ WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12209 TWIN CREEK RD, SUITE H, MANCHACA, TX 78652-3783
(512) 458-1414
(512) 458-5550
Mailing address
12209 TWIN CREEK RD, SUITE H, MANCHACA, TX 78652-3783
(512) 458-1414
(512) 458-5550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208482401
—
TX
05
—
208482402
—
TX
01
—
262321981
TRICARE
TX
Enumeration date
10/15/2007
Last updated
03/11/2013
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