MEDICARE: EM HEALTH 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	171100000X	Acupuncturist
2	225700000X	Massage Therapist
3	111N00000X	Chiropractor	11946	TX

General Provider Information

NPI Number	:	1255670899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EM HEALTH PLLC

Provider Business Mailing Address
First Line	:	2630 EXPOSITION BLVD
Second Line	:	STE G02
City	:	AUSTIN
State	:	TX
Zip	:	78703-1700
Country	:	US
Telephone Number	:	512-514-5150
Fax Number	:	512-494-5746

Provider Business Practice Location Address
First Line	:	2630 EXPOSITION BLVD
Second Line	:	STE G02
City	:	AUSTIN
State	:	TX
Zip	:	78703-1700
Country	:	US
Telephone Number	:	512-514-5150
Fax Number	:	512-494-5746

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JONATHAN BENSON WELCH
Credential	:	D.C.
Telephone Number	:	512-514-5150

Provider Enumeration Date	:	02/01/2013
Last Update Date	:	02/01/2013

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