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WELLSPRING PHYSICIAN P.C. NPI 1255870192


NPI Information

NPI: 1255870192
Provider Name: WELLSPRING PHYSICIAN, P.C.

Other Name: WELLSPRING PHYSICIAN, P.C. (VA)

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
309 N WASHINGTON AVE
SUITE 13
BRYAN, TX
ZIP 77803
Phone: (979) 431-5664
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WELLSPRING PHYSICIAN, P.C. is a family medicine in Bryan, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WELLSPRING PHYSICIAN, P.C. NPI is 1255870192. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wellspring Physician, P.c. (va).

The provider's business location address is:

309 N WASHINGTON AVE
SUITE 13
BRYAN, TX
ZIP 77803-368
Phone: (979) 431-5664

The provider's authorized official is Kathryn J Sowerwine .
The authorized official title is Cmo and has the following contact phone number (979) 221-1398.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 1/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyNo
2207P00000XEmergency MedicineNo
3207R00000XInternal MedicineNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.