Individual
MARK WELBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22535 LYNRIDGE DR, SAN ANTONIO, TX 78260-7747
(214) 750-6110
Mailing address
22535 LYNRIDGE DR, SAN ANTONIO, TX 78260-7747
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G5756
TX
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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