Wellspring Cardiovascular & Thoracic Surgery, PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

L7349 Issued in TX

Legal business name

WELLSPRING CARDIOVASCULAR & THORACIC SURGERY, PA

Practice address

6400 Fannin St
Ste. 2500
Houston, TX 77030-1521

Phone

(713) 795-4545

Fax

(713) 795-4595

NPI assigned

Oct 23, 2007

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cornelius Alexander Davis III, M.D.NPI 1528037975

Title

Owner

Phone

(713) 795-4545

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cornelius Alexander Davis III, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Houston, TX
  • NPI 1528037975
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1861681009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20056",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772250056",
            "telephone_number": "713-795-4545",
            "fax_number": "713-795-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "STE. 2500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-795-4545",
            "fax_number": "713-795-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CARDIOVASCULAR & THORACIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-795-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L7349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653768-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528037975",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Wells
• Tiffany Wells
• Valeska Andree Wells, D.O.
• Wellspace Therapy PLLC
• Wellspring Addiction Recovery LLC
• Wellspring Care LLC
• Wellspring CV, LLC
• Wellspring Family & Community Institute, LLC (Wellspring Home Health)
• Wellspring Family & Community Institute, LLC
• Wellspring Healthcare Inc

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.