MEDICARE: JAMES PATRICK WELLER M.D.

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	L9007	TX

General Provider Information

NPI Number	:	1912999483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES PATRICK WELLER M.D.

Provider Business Mailing Address
First Line	:	18220 STATE HIGHWAY 249
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18220 STATE HIGHWAY 249
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4347
Country	:	US
Telephone Number	:	281-477-1116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	07/08/2007

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Directions to “ JAMES PATRICK WELLER M.D.” Practice Location

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