Individual
CODY J WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 S COULTER ST, AMARILLO, TX 79106-1770
(806) 354-1000
Mailing address
PO BOX 24691, FORT WORTH, TX 76124-1691
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9542
TX
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
L9542
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169280801
—
TX
05
—
200033620A
—
OK
05
—
69678332
—
NM
01
—
81129S
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/16/2006
Last updated
05/18/2020
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