Organization
WELLMED MEDICAL GROUP, P.A.
Active
Other names
WellMed at Telshor
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS O HERNANDEZ M.D. (PRESIDENT)
(210) 877-7570
Entity
Organization
Contact information
Practice address
530 N TELSHOR BLVD STE C, LAS CRUCES, NM 88011-8243
(575) 323-6500
Mailing address
8637 FREDERICKSBURG RD STE 360, ATTN: DIRECTOR OF ACCOUNTS RECEIVABLE, SAN ANTONIO, TX 78240-1285
(210) 877-7570
(210) 641-2235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/08/2011
Last updated
12/19/2019
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