Provider Demographics
NPI:1417938879
Name:WELLS, GAIL T (RN,MS,FNP-C)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:T
Last Name:WELLS
Suffix:
Gender:F
Credentials:RN,MS,FNP-C
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Mailing Address - Street 1:12714 AZALEA CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3207
Mailing Address - Country:US
Mailing Address - Phone:281-894-7098
Mailing Address - Fax:281-890-3844
Practice Address - Street 1:10311 N ELDRIDGE PKWY
Practice Address - Street 2:STE. B5
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5368
Practice Address - Country:US
Practice Address - Phone:281-890-3822
Practice Address - Fax:281-890-3844
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2020-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX504124163W00000X
TXAP104815363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS61895Medicare UPIN