Wells, Joe
Wells, Joe is an individual health care provider with primary practice located at 1010 W 40Th St , Austin TX 78756-4010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Wells, Joe can be contacted via phone (512) 459-8753.Contact Information
Primary practice address
1010 W 40Th St
Austin TX 78756-4010
Phone: (512) 459-8753
Fax: (512) 483-6828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | J9566 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | J9566 | Texas |
Profile Details
| NPI number | 1629092903 |
|---|---|
| LBN Legal business name | Wells, Joe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Aug 18th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629092903 | NPPES |
| Texas | MEDICAID | 044931601 | |
| Texas | Other | 741796484 | |
| Texas | Other | 89453S |
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