Provider Demographics
NPI:1376054668
Name:STELZEL, BRIANA (CPM, LM)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:STELZEL
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WATSON LN E
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7141
Mailing Address - Country:US
Mailing Address - Phone:830-221-0277
Mailing Address - Fax:830-326-6049
Practice Address - Street 1:600 WATSON LN E
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7141
Practice Address - Country:US
Practice Address - Phone:830-221-0277
Practice Address - Fax:830-326-6049
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99312176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX99312OtherMIDWIFE