Individual
DR. J. WILLIAM WELLBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9210 SILVER PINE CV, AUSTIN, TX 78733-6122
(512) 517-7573
(800) 790-8107
Mailing address
PO BOX 161058, AUSTIN, TX 78716-1058
(800) 790-8107
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
85-123
NM
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H1543
TX
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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