Provider Demographics
NPI:1487135398
Name:WELCH MEDICAL
Entity type:Organization
Organization Name:WELCH MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-453-9767
Mailing Address - Street 1:1696 COUNTRY CLUB DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2625
Mailing Address - Country:US
Mailing Address - Phone:817-453-9767
Mailing Address - Fax:817-473-1839
Practice Address - Street 1:1696 COUNTRY CLUB DR STE 101
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2625
Practice Address - Country:US
Practice Address - Phone:817-453-9767
Practice Address - Fax:817-473-1839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INNOVATIVE MEDICAL SOLUTIONS EXPERTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies