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Organization
WELLINGTON PROVIDER GROUP, PC
Active
Organization
WELLINGTON PROVIDER GROUP, PC
Active
Parent organization
WELLINGTON PROVIDER GROUP, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLINGTON PROVIDER GROUP, PC
Authorized official
BRITTANY DENNIS (CREDENTIALING MANGER)
(859) 518-8817
Entity
Organization
Contact information
Practice address
700 MILAM ST STE 1300, HOUSTON, TX 77002-2736
(859) 439-0400
Mailing address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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