MEDICARE: JAMES STEVEN WELCH DO

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	207Q00000X	Family Medicine Physician	K7941	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P01398054	OTHER	TX	RAILROAD MEDICARE

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
2	2631895	OTHER	TX	AETNA PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8EK529	OTHER	TX	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	0098GV	OTHER	TX	BLUE CROSS PROVIDER NUMBE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942204847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES STEVEN WELCH DO

Provider Business Mailing Address
First Line	:	1130 PECAN DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5774
Country	:	US
Telephone Number	:	817-341-2520
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 PECAN DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5775
Country	:	US
Telephone Number	:	817-458-3254
Fax Number	:

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	12/08/2022

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