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Individual

JENNIFER T. WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1130 COTTONWOOD CREEK TRL STE C1, CEDAR PARK, TX 78613
(512) 454-8375
(888) 965-8836
Mailing address
1111 W 34TH ST, SUITE 210, AUSTIN, TX 78705-1900
(512) 454-8378
(512) 454-8375

Taxonomy

Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
Primary
N4128
TX
207RT0003X
Transplant Hepatology Physician
N4198
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204265701
TX
05
204265703
TX
01
8CB782
BCBSTX
TX
Enumeration date
06/14/2006
Last updated
08/07/2018
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