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WELLINGTON PROVIDER GROUP PC NPI 1609586197


NPI Information

NPI: 1609586197
Provider Name: WELLINGTON PROVIDER GROUP, PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
700 MILAM ST STE 1300
HOUSTON, TX
ZIP 77002
Phone: (859) 439-0400
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WELLINGTON PROVIDER GROUP, PC is a general practice in Houston, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WELLINGTON PROVIDER GROUP, PC NPI is 1609586197. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 MILAM ST STE 1300
HOUSTON, TX
ZIP 77002-736
Phone: (859) 439-0400

The provider's authorized official is Brittany Dennis .
The authorized official title is Credentialing Manger and has the following contact phone number (859) 518-8817.

The enumeration date for this NPI number is 11/25/2022 and was last updated on 11/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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