NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

1STMD
LBN WELLSPRING PHYSICIAN, P.A.
309 N. WASHINGTON AVE
SUITE 13
BRYAN, TX76248
 Phone: 979-431-5664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 1STMD

NPI # 1437558210
LBN Legal business name WELLSPRING PHYSICIAN, P.A.
DBA Doing business as 1STMD
Authorized official STEVEN GAFFNEY - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2014
Last updated 05/17/2018 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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