# WELLCORP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellCorp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366809311
- **Authorized official:** PATRICK B BOARDMAN (PRESIDENT)
- **Authorized official phone:** (361) 485-2000

## Contact information

- **Practice address:** 1406 E RED RIVER ST, VICTORIA, TX 77901-5521
- **Practice address phone:** (361) 485-2000
- **Practice address fax:** (361) 485-2005
- **Mailing address:** 1406 E RED RIVER ST, VICTORIA, TX 77901-5521
- **Mailing address phone:** (361) 485-2000
- **Mailing address fax:** (361) 485-2005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1001612 | TX | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/21/2016