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General NPI Number Information
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NPI Number | 1235373309
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Entity Type | Organization
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Legal Business Name | WELLS ALLERGY AND PEDIATRIC ASSOCIATES, PLLC
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 5618 E SAM HOUSTON PKWY N
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City | HOUSTON
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State | TX
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Zip | 77015-3249
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Country | US
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Telephone | 281-452-3300
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Fax | 281-452-3301
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Provider Business Mailing Address
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Address Line | 12806 GLORYWHITE CT
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City | HOUSTON
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State | TX
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Zip | 77034-3685
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Country | US
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Telephone | 713-301-0159
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Fax | 281-922-6448
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Authorized Official
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Title or Position | OWNER
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Name | DR. REGINA D. WELLS
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Credential | MD
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Telephone | 281-452-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | M6949
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License Number State | TX
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