WELLMED MEDICAL GROUP, P.A. (NPI# 1194023697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194023697 |
| Entity Type | Organization |
| Organization Name | WELLMED MEDICAL GROUP, P.A. |
| Other Organization Name | MISSION SENIOR MEDICINE BY WELLMED |
| Practice Address |
2013 E Griffin Pkwy Mission TX 78572-3222 |
| Mailing Address |
8637 Fredericksburg Rd Ste 360 Attn: Director of Accounts Receivable San Antonio TX 78240-1285 |
| Practice Telephone | 9565854715 |
| Practice Fax Number | 9565856775 |
| Mailing Telephone | 2108777570 |
| Mailing Fax Number | 2106412235 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | DR. CARLOS O HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 2108777570 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mission Senior Medicine by WellMed | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154629434 | Wellmed Medical Group, P.a. | Internal Medicine | 1215 Santa Fe St., Corpus Christi, TX 78404-2338 | 2011-03-10 |
| 1659679157 | Wellmed Medical Group, P.a. | Internal Medicine | 530 N Telshor Blvd Ste C, Las Cruces, NM 88011-8243 | 2011-03-08 |
| 1245538529 | Wellmed Medical Group, P.a. | Internal Medicine | 7622 Louis Pasteur Dr, Suite 100, San Antonio, TX 78229-4037 | 2011-03-10 |
| 1437457710 | Wellmed Medical Group, P.a. | Internal Medicine | 706 W Ben White Blvd, Suite 100, Austin, TX 78704-7034 | 2011-03-10 |
| 1518265891 | Wellmed Medical Group, P.a. | Internal Medicine | 3708 Jefferson St, Suite A, Austin, TX 78731-6206 | 2011-03-10 |
| 1477851970 | Wellmed Medical Group, P.a. | Internal Medicine | 5402 Holly Rd, Suite 102, Corpus Christi, TX 78411-4645 | 2011-03-08 |
| 1740588243 | Wellmed Medical Group, P.a. | Internal Medicine | 3301 S Alameda St, Suite 306, Corpus Christi, TX 78411-1882 | 2011-03-08 |
| Street Address |
2013 E GRIFFIN PKWY |
| City | MISSION |
| State | TX |
| Zip Code | 78572-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561338 | Mark Alquiza | Family Medicine | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2005-07-14 |
| 1528493459 | Rene Del Bosque IIi | Physician Assistant | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2013-09-10 |
| 1184066987 | Sergio Reyes Jr. | Physician Assistant | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2013-07-22 |
| 1629419221 | Merlyn Palacios | Nurse Practitioner | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2013-07-11 |
| 1861718462 | Marlene Chang-brown, M.d., P.a. | Internal Medicine | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2010-04-08 |
| 1215185087 | Deborah L Dooley | Nurse Practitioner | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2008-09-04 |
| 1659471696 | Marlene Chang-brown | Internal Medicine | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1710528187 | Te Cuidamos, LLC | Home Health | 2205 N Inspiration Rd, Ste A, Mission, TX 78572 | 2019-10-07 |
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1609352715 | Community First Home Health | Home Health | 1707 Merlin, Mission, TX 78572 | 2018-07-12 |
| 1831681279 | Yuriko Garcia | Physician Assistant | 910 S. Bryan Rd., Suite #105, Mission, TX 78572 | 2018-06-01 |
| 1982193918 | Dalinda Valdez | Registered Nurse | 1707 Merlin Dr, Mission, TX 78572 | 2018-05-04 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1760998371 | J Bravo Medical Services | Clinic/Center | 2001 W 3 Mile Line Rd, 2400 & 2500, Mission, TX 78572 | 2017-12-18 |
| 1821528654 | Bit Na Lee | Dentist | 213 E Expy 83, Mission, TX 78572 | 2017-06-14 |
| 1568901957 | Ofelia Perez Hernandez Dds Pllc | Dentist | 8360 W. Expy 83, Mission, TX 78572 | 2017-02-17 |
| Find all providers in zip 78572 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637560 | Fenold Byron | Family Medicine | 900 Travis St Apt 35, Mission, TX 78572-6663 | 2020-04-06 |
| 1154976900 | Jonathan Pierre-louis | Family Medicine | 2310 E Interstate Highway 2 Ste 3, Mission, TX 78572-2104 | 2019-08-08 |
| 1093258170 | Luis Alberto Mata, Pllc | Family Medicine | 2118 E Griffin Pkwy, Mission, TX 78572-3225 | 2016-11-22 |
| 1326401167 | Fernando Luna Fnp-bc, Pllc | Family Medicine | 907 W 26th St, Mission, TX 78574-7615 | 2016-03-30 |
| 1497131015 | Ali and Husain Md,pa | Family Medicine | 3003 N. Conway Ave., Mission, TX 78574 | 2015-08-05 |
| 1902285299 | Luis E Ferrufino Md Pllc | Family Medicine | 3406 San Eduardo St, Mission, TX 78572-6494 | 2015-05-20 |
| 1891071106 | Rafael Rafols Md Pa | Family Medicine | 2009 E Griffin Pkwy, Mission, TX 78572-3222 | 2011-10-31 |
| 1174816201 | South Texas Community Medical, LLC | Family Medicine | 102 S Bryan Rd, Mission, TX 78572-6218 | 2011-05-23 |
| 1023315967 | Clinica De Pueblo De Palmas, Inc | Family Medicine | 3204 Mile 5 Rd, Mission, TX 78574-6206 | 2011-02-11 |
| 1245480441 | Sunshine Excellent Care Services Inc. | Family Medicine | 1616 E Griffin Pkwy, Ste127, Mission, TX 78572-3180 | 2008-09-24 |
| Find all providers in MISSION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.