Kelley Al-Dhalaan
Individual provider Active NPI Primary Care Nurse Practitioner · Weimar, TX
NPI 1326905985 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1326905985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 1090643 (TX)
- Practice address
- 507 S Exchange St
Weimar, TX 78962-2801 - Phone
- (281) 682-8975
- NPI assigned
- Jan 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1090643 | TX | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1090643 | TX | Yes |
Addresses
Primary practice location
507 S Exchange St
Weimar, TX 78962-2801
Mailing address
507 S Exchange St
Weimar, TX 78962-2801
Phone (281) 682-8975
Other providers in Weimar, TX
- Renee Absher
- Accuhealth
- Abigayle Taylor Adamson
- Alvah Dialysis LLC
- At Home Chiropractic LLC
- Kassie Chaffin
- Colorado Fayette Medical Center
- Colorado Fayette Medical Center
All providers in Weimar, TX · Primary Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.