Provider Demographics
NPI:1780284307
Name:WELCH-RAAB, CATY (LVN)
Entity type:Individual
Prefix:
First Name:CATY
Middle Name:
Last Name:WELCH-RAAB
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 DOGWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ROBINSON
Mailing Address - State:TX
Mailing Address - Zip Code:76706-5213
Mailing Address - Country:US
Mailing Address - Phone:254-252-7099
Mailing Address - Fax:
Practice Address - Street 1:717 DOGWOOD ST
Practice Address - Street 2:
Practice Address - City:ROBINSON
Practice Address - State:TX
Practice Address - Zip Code:76706-5213
Practice Address - Country:US
Practice Address - Phone:254-252-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339220164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse