Basic Information
Provider Information
NPI: 1366707598
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WELCH
FirstName: KAREN
MiddleName: SPURGEON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: COMMUNITYCARE OAK HILL
Address2: 8656-A HWY 71 WEST, SUITE C
City: AUSTIN
State: TX
PostalCode: 78735
CountryCode: US
TelephoneNumber: 5129789820
FaxNumber: 5129789830
Practice Location
Address1: 8656A W HIGHWAY 71 STE C
Address2:  
City: AUSTIN
State: TX
PostalCode: 787358078
CountryCode: US
TelephoneNumber: 5129789820
FaxNumber: 5129789830
Other Information
ProviderEnumerationDate: 07/13/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XQ4334TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home