Provider Demographics
NPI:1225781925
Name:GUELKER, MADALYN ELAINE (PA-C)
Entity Type:Individual
Prefix:
First Name:MADALYN
Middle Name:ELAINE
Last Name:GUELKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 S STAPLES ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-0002
Mailing Address - Country:US
Mailing Address - Phone:361-882-5560
Mailing Address - Fax:361-882-6011
Practice Address - Street 1:4141 S STAPLES ST STE 300
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-0002
Practice Address - Country:US
Practice Address - Phone:361-882-5560
Practice Address - Fax:361-882-6011
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA13805207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology