MEDICARE: MARIA WELCH

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	103TR0400X	Rehabilitation Psychologist		TX

General Provider Information

NPI Number	:	1194691824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA WELCH

Provider Business Mailing Address
First Line	:	4201 MEDICAL DR STE 260
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-5631
Country	:	US
Telephone Number	:	210-949-9010
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 MEDICAL DR STE 260
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-5631
Country	:	US
Telephone Number	:	210-949-9010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	10/10/2025

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