| NPI | 1083809339 |
|---|---|
| Doing Business As | WELLCARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN BERGERON Medical Director/Owner 713-225-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |