Provider Demographics
NPI:1568443950
Name:WELSH, JAMES B (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:WELSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4214 ANDREWS HWY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-4822
Mailing Address - Country:US
Mailing Address - Phone:432-684-8700
Mailing Address - Fax:
Practice Address - Street 1:4214 ANDREWS HWY
Practice Address - Street 2:SUITE 303
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-4865
Practice Address - Country:US
Practice Address - Phone:432-684-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-11
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2100207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100236201Medicaid
TX100236201Medicaid
TX00TC63Medicare PIN