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General NPI Number Information
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NPI Number | 1669778304
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Entity Type | Organization
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Legal Business Name | WELLMED MEDICAL GROUP, PA
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 19500 IH 10 W MS 1-5030
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City | SAN ANTONIO
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State | TX
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Zip | 78257-9509
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Country | US
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Telephone | 210-617-4706
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Fax |
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Provider Business Mailing Address
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Address Line | 19500 IH 10 W MS 1-5030 ATTN: LICENSE & REGULATORY
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City | SAN ANTONIO
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State | TX
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Zip | 78257-9509
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Country | US
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Telephone | 210-617-4706
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR LICENSE®ULATORY
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Name | KRISTINA NYIRI
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Credential | RN
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Telephone | 210-850-6272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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