Individual
MICHAEL J. WELLS
Active
Individual
MICHAEL J. WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
L2052
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
L2052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072980A
—
OK
05
—
126640100
—
TX
01
—
126640101
FIRSTCARE COMMERCIAL
TX
05
—
143174401
—
TX
05
—
143174403
—
TX
01
—
201032275
PRESBYTERIAN COMMERCIAL
NM
05
—
201032275
—
NM
01
—
80582S
BC/BS
TX
01
—
84412Z
HMO BLUE
—
01
—
A491
TRIWEST
—
05
—
E3288
—
NM
Enumeration date
06/01/2005
Last updated
05/26/2022
Update your record
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