Provider Demographics
NPI:1366944555
Name:HOELSCHER, BERYL (NURSE)
Entity type:Individual
Prefix:
First Name:BERYL
Middle Name:
Last Name:HOELSCHER
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:BERYL
Other - Middle Name:
Other - Last Name:OBHARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,BSN
Mailing Address - Street 1:706 W BEN WHITE BLVD STE 233A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8124
Mailing Address - Country:US
Mailing Address - Phone:512-707-1070
Mailing Address - Fax:
Practice Address - Street 1:706 W BEN WHITE BLVD STE 233A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704
Practice Address - Country:US
Practice Address - Phone:512-707-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX840715163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse