| NPI | 1659679157 |
|---|---|
| Doing Business As | WELLMED AT TELSHOR |
| 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 | 2011-03-08 |
| Last Update Date | 2019-12-19 |