Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | H0922 | TX |
NPI | 1013950062 |
---|---|
Provider Name | Dr. Byron R Welch |
First Address | Austin, TX 78751-3014 |
Second Address | Austin, TX 78759-4277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 02/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
128674208 | (05) | TX |