# MEDEXPRESS PRIMARY CARE TEXAS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Well - Oldsmar
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356998652
- **Authorized official:** BRETT GALL (DIRECTOR PAYOR CONTRACTING)
- **Authorized official phone:** (304) 225-2500

## Contact information

- **Practice address:** 601 BROOKER CREEK BLVD, OLDSMAR, FL 34677-2962
- **Practice address phone:** (952) 205-1252
- **Mailing address:** 1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
- **Mailing address phone:** (304) 225-2500
- **Mailing address fax:** (724) 743-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 08/21/2019
