MEDICARE: WESSON CARE HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1215804364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESSON CARE HOSPITAL

Provider Business Mailing Address
First Line	:	1007 CUSHING DR APT 26
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-6762
Country	:	US
Telephone Number	:	512-521-6493
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 CUSHING DR APT 26
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-6762
Country	:	US
Telephone Number	:	512-521-6493
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRIAN JERRAL WESSON
Credential	:
Telephone Number	:	512-521-6493

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

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