MEDICARE: WELLS CAPITAL LLC.

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	341600000X	Ambulance

General Provider Information

NPI Number	:	1972432995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLS CAPITAL LLC.

Provider Business Mailing Address
First Line	:	15000 MANSIONS VIEW DR APT 2207
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77384-4350
Country	:	US
Telephone Number	:	347-783-9620
Fax Number	:

Provider Business Practice Location Address
First Line	:	15000 MANSIONS VIEW DR APT 2207
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77384-4350
Country	:	US
Telephone Number	:	347-783-9620
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIA WELLS BURTON
Credential	:
Telephone Number	:	347-783-9620

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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Directions to “WELLS CAPITAL LLC. ” Practice Location

Language	Start Address	Practice Location

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