Provider Demographics
NPI:1851331078
Name:WELSH, JENIFER H (MD)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:H
Last Name:WELSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W IH 635 FWY
Mailing Address - Street 2:STE 200, PLAZA I
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3718
Mailing Address - Country:US
Mailing Address - Phone:972-406-1199
Mailing Address - Fax:972-556-2593
Practice Address - Street 1:400 W IH 635 FWY
Practice Address - Street 2:STE 200, PLAZA I
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3718
Practice Address - Country:US
Practice Address - Phone:972-406-1199
Practice Address - Fax:972-556-2593
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7943207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186804402Medicaid
TX186804403Medicaid
TXP01283898OtherRAILROAD MEDICARE
TXP01283898OtherRAILROAD MEDICARE