Provider Demographics
NPI:1881619021
Name:WELDING, MARK P (OD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:P
Last Name:WELDING
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:2300 HIGHLAND VILLAGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7148
Mailing Address - Country:US
Mailing Address - Phone:972-317-3888
Mailing Address - Fax:972-316-6977
Practice Address - Street 1:801 W RANDOL MILL RD STE 201
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2505
Practice Address - Country:US
Practice Address - Phone:817-277-6433
Practice Address - Fax:817-277-9086
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX05468TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1881619021OtherNPI
TXU82014Medicare UPIN