Provider Demographics
NPI:1437489549
Name:WELDON L. ASH,M.D.P.A.
Entity Type:Organization
Organization Name:WELDON L. ASH,M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WELDON
Authorized Official - Middle Name:L
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:MDPA
Authorized Official - Phone:806-795-6421
Mailing Address - Street 1:2424 50TH ST
Mailing Address - Street 2:STE 203
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-2559
Mailing Address - Country:US
Mailing Address - Phone:806-795-6421
Mailing Address - Fax:806-795-1528
Practice Address - Street 1:2424 50TH ST
Practice Address - Street 2:STE 203
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2559
Practice Address - Country:US
Practice Address - Phone:806-795-6421
Practice Address - Fax:806-795-1528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127762603Medicaid
TXU12985Medicare UPIN