Individual
JOHN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1020 RIVERWOOD CT, CONROE, TX 77304-2811
(936) 756-8331
(936) 760-2898
Mailing address
PO BOX 3067, CONROE, TX 77305-3067
(936) 756-8331
(936) 760-2898
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
134945
TX
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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