Organization
WELLSPRING PHYSICIAN, P.C. - VA
Active
Other names
Wellspring Physician, P.C. (VA)
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J SOWERWINE MD (CHIEF MEDICAL OFFICER)
(979) 221-1398
Entity
Organization
Contact information
Practice address
100 SHOCKOE SLIP FL 2, RICHMOND, VA 23219-4100
(877) 872-0370
(855) 908-2520
Mailing address
309 N WASHINGTON AVE, SUITE 13, BRYAN, TX 77803-5368
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
02/13/2017
Last updated
09/02/2025
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