Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | M7749 | TX |
NPI | 1043217276 |
---|---|
Provider Name | Dr. Scott Andrew Welsh |
First Address | Austin, TX 78746-5550 |
Second Address | Austin, TX 78746-5550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 09/07/2021 |