| Texas Wellmed Clinic, Pllc | |
|
12246 Queenston Blvd Ste A Houston TX 77095-5355 | |
| (281) 246-4668 | |
| (832) 862-5608 |
| Full Name | Texas Wellmed Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12246 Queenston Blvd Ste A, Houston, Texas |
| Authorized Official Name and Position | Samuel Z Feng (OWNER) |
| Authorized Official Contact | 2812464668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Wellmed Clinic, Pllc 12246 Queenston Blvd Ste A Houston TX 77095-5355 Ph: (281) 246-4668 | Texas Wellmed Clinic, Pllc 12246 Queenston Blvd Ste A Houston TX 77095-5355 Ph: (281) 246-4668 |
| NPI Number | 1326561440 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 11/01/2019 |
| Medicare PECOS PAC ID | 4688905185 |
|---|---|
| Medicare Enrollment ID | O20191015001516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326561440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samuel Z Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700821287 PECOS PAC ID: 9436043528 Enrollment ID: I20040210000750 |
| Provider Name | Alfred B Wettermark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720288053 PECOS PAC ID: 3476638651 Enrollment ID: I20080312000234 |
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