Healthcare Provider Details

I. General information

NPI: 1952580425
Provider Name (Legal Business Name): SCOTT A WELSH MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 03/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W SLAUGHTER LN
AUSTIN TX
78748-1715
US

IV. Provider business mailing address

401 W SLAUGHTER LN
AUSTIN TX
78748-1715
US

V. Phone/Fax

Practice location:
  • Phone: 512-888-1201
  • Fax: 512-888-1202
Mailing address:
  • Phone: 512-888-1201
  • Fax: 512-888-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberM7749
License Number StateTX

VIII. Authorized Official

Name: SCOTT WELSH
Title or Position: PRESIDENT
Credential: MD
Phone: 512-301-9922