Wellspring Physician, PC - Mi

NPI #1174062012 in Bryan, Texas

Provider Information

NPI Number: 1174062012
Entity Type: Organization
Organization Name: Wellspring Physician, PC - Mi
Primary Specialty: Family Medicine
Enumeration Date: Feb 13, 2017
Last Updated: Sep 2, 2025

Practice Location

Address: 309 N WASHINGTON AVE
Address 2: SUITE 13
City: Bryan
State: Texas
ZIP Code: 77803-5368
Phone: (979) 431-5664

Authorized Official

Name: KATHRYN J SOWERWINE, MD
Title: CMO
Phone: (979) 221-1398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Emergency Medicine	207P00000X
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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