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General NPI Number Information
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NPI Number | 1710920921
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Entity Type | Individual
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Provider Name | JENNIFER T. WELLS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 1130 COTTONWOOD CREEK TRL STE C1
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City | CEDAR PARK
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State | TX
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Zip | 78613
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Country | US
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Telephone | 512-454-8375
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Fax | 888-965-8836
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Provider Business Mailing Address
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Address Line | 1111 W 34TH ST SUITE 210
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City | AUSTIN
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State | TX
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Zip | 78705-1900
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Country | US
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Telephone | 512-454-8378
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Fax | 512-454-8375
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | N4198
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | N4128
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License Number State | TX
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