Provider Demographics
NPI:1568546224
Name:WELDON, BILL ED (DO)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:ED
Last Name:WELDON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3800 CAMP BOWIE BLVD
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-3356
Mailing Address - Country:US
Mailing Address - Phone:817-348-8000
Mailing Address - Fax:817-348-8003
Practice Address - Street 1:3800 CAMP BOWIE BLVD
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-3356
Practice Address - Country:US
Practice Address - Phone:817-348-8000
Practice Address - Fax:817-348-8003
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4669207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine