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Individual
JOE WELLS
Active
Individual
JOE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J9566
TX
2086S0129X
Vascular Surgery Physician
44430
OK
2086S0129X
Vascular Surgery Physician
Primary
J9566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044931601
—
TX
01
—
741796484
TAX ID NO
TX
01
—
89453S
BCBS PROV NO
TX
Enumeration date
07/27/2006
Last updated
01/24/2025
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