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General NPI Number Information
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NPI Number | 1316809312
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Entity Type | Organization
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Legal Business Name | WELLMED MEDICAL LLC
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 5454 PEPPERCORN DR
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City | BAYTOWN
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State | TX
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Zip | 77521-4440
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Country | US
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Telephone | 422-565-6545
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Fax |
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Provider Business Mailing Address
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Address Line | 5454 PEPPERCORN DR
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City | BAYTOWN
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State | TX
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Zip | 77521-4440
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CRAIG ROCKEFELLER
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Credential |
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Telephone | 432-316-7545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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