MEDICARE: WELLS AMERICAN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760593826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLS AMERICAN, INC.

Provider Business Mailing Address
First Line	:	2421 ALDINE MAIL RT SUITE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039
Country	:	US
Telephone Number	:	281-372-8522
Fax Number	:	281-372-8524

Provider Business Practice Location Address
First Line	:	2421 ALDINE MAIL RT SUITE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039
Country	:	US
Telephone Number	:	281-372-8522
Fax Number	:	281-372-8524

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. CHRISTOPHER QUINTANA
Credential	:
Telephone Number	:	936-444-5027

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	10/10/2019

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Directions to “WELLS AMERICAN, INC. ” Practice Location

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