Provider Demographics
NPI:1437159605
Name:WELCH, JAMES EARL JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EARL
Last Name:WELCH
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 TREADWAY RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7105
Mailing Address - Country:US
Mailing Address - Phone:409-833-5600
Mailing Address - Fax:409-833-2111
Practice Address - Street 1:4220 TREADWAY RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7105
Practice Address - Country:US
Practice Address - Phone:409-833-5600
Practice Address - Fax:409-833-2111
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3042OtherLICENSE
TX8F0633OtherBLUE CROSS BLUE SHIELD
TX8F0633OtherBLUE CROSS BLUE SHIELD
TX3042OtherLICENSE