Basic Information
| Provider Information | |||||||||
| NPI: | 1952580425 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SCOTT A WELSH MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 W SLAUGHTER LN | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787481715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5128881201 | ||||||||
| FaxNumber: | 5128881202 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 W SLAUGHTER LN | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787481715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5128881201 | ||||||||
| FaxNumber: | 5128881202 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2007 | ||||||||
| LastUpdateDate: | 03/16/2018 | ||||||||
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| AuthorizedOfficialLastName: | WELSH | ||||||||
| AuthorizedOfficialFirstName: | SCOTT | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5123019922 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | M7749 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 194194001 | 05 | TX | MEDICAID |