| NPI | 1437558210 | 
|---|---|
| Other Name | WELLSPRING PHYSICIAN | 
| Entity Type | Organization | 
| Authorized Contact | KATHRYN J SOWERWINE Chief Medical Officer 979-221-1398 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 207P00000X Emergency Medicine | 
| 207K00000X Allergy & Immunology | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2014-08-18 | 
| Last Update Date | 2025-09-02 |