MEDICARE: JBWELSH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1891088407	OTHER	TX	PRIMARY NPI

General Provider Information

NPI Number	:	1558920983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JBWELSH PLLC

Provider Business Mailing Address
First Line	:	714 RIDGEDALE DR
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-5513
Country	:	US
Telephone Number	:	432-935-1964
Fax Number	:

Provider Business Practice Location Address
First Line	:	4224 SWISS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6670
Country	:	US
Telephone Number	:	214-821-9938
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. BRIAN WELSH
Credential	:	MD
Telephone Number	:	214-821-9938

Provider Enumeration Date	:	06/10/2019
Last Update Date	:	05/18/2022

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Directions to “JBWELSH PLLC ” Practice Location

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