Wellmed Medical Group PA
Organization Active NPI Primary Care Clinic/Center · Ingleside, TX
NPI 1487843975 · NPPES record last updated Aug 20, 2013
Key facts
- NPI
- 1487843975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- M0044 (TX)
- Legal business name
- WELLMED MEDICAL GROUP PA
- Practice address
- 2713 Main St
Ingleside, TX 78362 - Phone
- (361) 776-5107
- Fax
- (361) 776-5136
- NPI assigned
- Oct 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Norman Theodore Crabb, D.O
- Title
- Doctor of Osteopathic Medicine
- Phone
- (361) 776-5107
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Wellmed Medical Group PA
Locations
2713 Main St
Ingleside, TX 78362
Phone (361) 727-7301
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/WELLMED
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | M0044 | TX | Yes |
Addresses
Primary practice location
2713 Main St
Ingleside, TX 78362
Mailing address
225 Terlingua
Portland, TX 78374
Phone (361) 776-5101
Other providers in Ingleside, TX
- Gabriel S Tellez
- Texas Spine & Rehab Center
- Tri County Emergency Medical Services, Inc
- W & W Management Inc
- Carol Walker Watt
All providers in Ingleside, TX · Primary Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.