Individual
MICHAEL J. WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6100 WINDHAVEN PKWY, PLANO, TX 75093
(972) 378-0620
(972) 378-0630
Mailing address
6100 WINDHAVEN PKWY, PLANO, TX 75093-8046
(972) 378-0620
(972) 378-0630
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
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