| Wellfast Health | |
|
1509 S Highway 69 Nederland TX 77627-7807 | |
| (409) 722-9355 | |
| (409) 420-1002 |
| Full Name | Wellfast Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 1509 S Highway 69, Nederland, Texas |
| Authorized Official Name and Position | Ben Johnson (MANAGER) |
| Authorized Official Contact | 4097229355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellfast Health 1509 S Hwy 69 Nederland TX 77627 Ph: (409) 722-9355 | Wellfast Health 1509 S Highway 69 Nederland TX 77627-7807 Ph: (409) 722-9355 |
| NPI Number | 1427199256 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427199256 | NPI | - | NPPES |
| 167908601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | F9887 (Texas) | Primary |
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