| 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 |