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 |