| NPI | 1437457710 | 
|---|---|
| Doing Business As | WELLMED SENIOR CLINIC AT BEN WHITE | 
| Entity Type | Organization | 
| Authorized Contact | CARLOS O HERNANDEZ President 210-877-7570 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2011-03-10 | 
| Last Update Date | 2011-07-28 |