Wellspring Physician, P.c.

NPI #1366981201 in Bryan, Texas

Provider Information

NPI Number: 1366981201
Entity Type: Organization
Organization Name: Wellspring Physician, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

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: STEVEN J GAFFNEY
Title: SECRETARY
Phone: (979) 431-3451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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