Active NPI
Mary Lucille Welp, M.D.
- Family Medicine Physician
- Midlothian, TX
National Provider Identifier
1902855646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G6640
- Practice address
- 2230 Bryan PL
Suite 200
Midlothian, TX 76065-7147 - Phone
- (972) 775-4132
- Fax
- (972) 775-4620
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G6640 | TX | Primary |
Addresses
Primary practice location
2230 Bryan PL
Suite 200
Midlothian, TX 76065-7147
Mailing address
2230 Bryan PL
Ste#200
Midlothian, TX 76065-7147
Phone (972) 775-4132
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133973109 | Medicaid | TX | |
| 8CG136 | Other | TX | BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Past | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1902855646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 BRYAN PL",
"address_2": "STE#200",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760657147",
"telephone_number": "972-775-4132",
"fax_number": "972-775-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 BRYAN PL",
"address_2": "SUITE 200",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760657147",
"telephone_number": "972-775-4132",
"fax_number": "972-775-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELP",
"first_name": "MARY",
"middle_name": "LUCILLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G6640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133973109",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8CG136",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.