Provider Demographics
NPI:1548232028
Name:WELCH, GREGORY PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:PATRICK
Last Name:WELCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 691287
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-1287
Mailing Address - Country:US
Mailing Address - Phone:281-477-8660
Mailing Address - Fax:
Practice Address - Street 1:13211 HARGRAVE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4311
Practice Address - Country:US
Practice Address - Phone:281-477-8660
Practice Address - Fax:281-477-8662
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH92922080N0001X
TXP65482080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine