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Organization
WELLCORP LLC
Active
Organization
WELLCORP LLC
Active
Other names
WellCorp
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK B BOARDMAN (PRESIDENT)
(361) 485-2000
Entity
Organization
Contact information
Practice address
1406 E RED RIVER ST, VICTORIA, TX 77901-5521
(361) 485-2000
(361) 485-2005
Mailing address
1406 E RED RIVER ST, VICTORIA, TX 77901-5521
(361) 485-2000
(361) 485-2005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001612
TX
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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