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Organization
WELLFAST HEALTH INC
Active
Organization
WELLFAST HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN JOHNSON (OWNER/ PRACTICE MANAGER)
(409) 722-9355
Entity
Organization
Contact information
Practice address
1509 S HIGHWAY 69, NEDERLAND, TX 77627-7807
(409) 722-9355
(409) 420-1002
Mailing address
1509 S HIGHWAY 69, NEDERLAND, TX 77627-7807
(409) 722-9355
(409) 420-1002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H5430
TX
261QU0200X
Urgent Care Clinic/Center
—
TX
Other
Enumeration date
03/17/2015
Last updated
04/22/2015
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