Individual
MR. BRIAN EDWARD WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC, LAT, PTA
Contact information
Practice address
136 TEAGUE SPECIAL EVENTS CTR, ACU BOX 27916, ABILENE, TX 79699-7916
(325) 674-2506
(325) 674-4822
Mailing address
136 TEAGUE SPECIAL EVENTS CTR, ACU BOX 27916, ABILENE, TX 79699-7916
(325) 674-2506
(325) 674-4822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2008003318
MO
2255A2300X
Athletic Trainer
2011008024
MO
2255A2300X
Athletic Trainer
Primary
AT5081
TX
Other
Enumeration date
05/01/2013
Last updated
03/04/2014
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