Verner O Nellsch MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

K7070 Issued in TX

Legal business name

VERNER O NELLSCH MD

Practice address

1717 Highway 59 Loop N
Livingston, TX 77351-5703

Phone

(936) 327-8844

Fax

(936) 327-8129

NPI assigned

Apr 3, 2007

Last updated

Dec 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Patricia A Coleman

Title

Office Manager

Phone

(936) 687-5584

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1518088848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1765",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773510033",
            "telephone_number": "936-327-8844",
            "fax_number": "936-327-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HIGHWAY 59 LOOP N",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773515703",
            "telephone_number": "936-327-8844",
            "fax_number": "936-327-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNER O NELLSCH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-687-5584",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K7070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096317501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin True, OTR
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• Tiffani Valderez
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• Joyce Rachel Wagner, MS,CCC-SLP
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0275)

• Specialist in Livingston, TX
• Providers in Livingston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.