Wellcare Professionals LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELLCARE PROFESSIONALS LLC

Practice address

1109 E 5TH St Ste B
Tyler, TX 75701-3318

Phone

(903) 354-0231

NPI assigned

Nov 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Niaz Farhat, MD

Title

Owner

Phone

(214) 506-1136

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1447728134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21175 TOMBALL PKWY # 504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655",
            "telephone_number": "214-506-1136",
            "fax_number": "214-705-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E 5TH ST STE B",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013318",
            "telephone_number": "903-354-0231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22625 State Highway 249 Ste 450",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773758285",
            "country_code": "US",
            "telephone_number": "214-506-1136",
            "fax_number": "214-705-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLCARE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "FARHAT",
        "authorized_official_first_name": "NIAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-506-1136",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judson Stewart Welch, P.A.
• Katherine Welch, DPT
• Tara Welch, RN
• Tristyn Welch
• Wayne D Welch, LPC (LICENSED PROFES
• Charlotte Len Weller, PHARM.D.
• Annette Wells
• Charles D Wells Jr., MD
• Elizabeth Wells
• Margaret Wells, LVN

• Internal Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.