Individual
GORDON ROBERT WELCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 TEXAN TRL, SUITE 100, CORPUS CHRISTI, TX 78411-2548
(361) 884-8631
(361) 882-7716
Mailing address
601 TEXAN TRL, SUITE 100, CORPUS CHRISTI, TX 78411-2547
(361) 884-8631
(361) 882-7716
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D9718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P 08792833
—
TX
Enumeration date
08/30/2005
Last updated
08/05/2010
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