Organization
WELDON L. ASH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN NOBLE (APPROVER)
(806) 319-2900
Entity
Organization
Contact information
Practice address
3809 22ND STREET, LUBBOCK, TX 79410-1198
(806) 319-2900
Mailing address
3809 22ND ST, SUITE 2C, LUBBOCK, TX 79410-1198
(806) 319-2900
(806) 317-1687
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R777
MEDICARE IDENTIFICATION NUMBER
TX
Enumeration date
10/22/2015
Last updated
10/22/2015
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