Active NPI
Mark Welborn
- Neurology Physician
- San Antonio, TX
National Provider Identifier
1740548569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G5756
- Practice address
- 22535 Lynridge Dr
San Antonio, TX 78260-7747 - Phone
- (214) 750-6110
- NPI assigned
- Apr 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G5756 | TX | Primary |
Addresses
Primary practice location
22535 Lynridge Dr
San Antonio, TX 78260-7747
Mailing address
22535 Lynridge Dr
San Antonio, TX 78260-7747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5756 | TX | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1740548569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22535 LYNRIDGE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782607747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22535 LYNRIDGE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782607747",
"telephone_number": "214-750-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELBORN",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-30",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "G5756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.