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Organization
WELLSPRING PHYSICIAN, P.C.
Active
Organization
WELLSPRING PHYSICIAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR K WONG (SVP - OPERATIONS)
(855) 673-2876
Entity
Organization
Contact information
Practice address
100 CHARLES EWING BLVD STE 160, EWING, NJ 08628-3456
(855) 673-2876
Mailing address
4359 ROANS CHAPEL RD, COLLEGE STATION, TX 77845-4096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
07/28/2026
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