Healthcare Provider Details

I. General information

NPI: 1972432995
Provider Name (Legal Business Name): WELLS CAPITAL LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 MANSIONS VIEW DR APT 2207
CONROE TX
77384-4350
US

IV. Provider business mailing address

15000 MANSIONS VIEW DR APT 2207
CONROE TX
77384-4350
US

V. Phone/Fax

Practice location:
  • Phone: 347-783-9620
  • Fax:
Mailing address:
  • Phone: 347-783-9620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: KIA WELLS BURTON
Title or Position: OWNER
Credential:
Phone: 347-783-9620