MEDICARE: WELDON L. ASH,M.D.P.A.

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	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437489549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELDON L. ASH,M.D.P.A.

Provider Business Mailing Address
First Line	:	2424 50TH ST
Second Line	:	STE 203
City	:	LUBBOCK
State	:	TX
Zip	:	79412-2559
Country	:	US
Telephone Number	:	806-795-6421
Fax Number	:	806-795-1528

Provider Business Practice Location Address
First Line	:	2424 50TH ST
Second Line	:	STE 203
City	:	LUBBOCK
State	:	TX
Zip	:	79412-2559
Country	:	US
Telephone Number	:	806-795-6421
Fax Number	:	806-795-1528

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WELDON L ASH
Credential	:	M.D.P.A.
Telephone Number	:	806-795-6421

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	01/12/2010

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