Individual
DR. KEVIN MICHAEL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2806 E 29TH ST, BRYAN, TX 77802-2601
(979) 776-8330
(979) 774-9157
Mailing address
2806 E 29TH ST, BRYAN, TX 77802-2601
(979) 776-8330
(979) 774-9157
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R9889
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
R9889
TX
Other
Enumeration date
04/25/2013
Last updated
05/06/2021
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