Provider Demographics
NPI:1578605937
Name:WELLS, MARGARET ROSE (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ROSE
Last Name:WELLS
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ROSE
Other - Last Name:WELLS DIAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1011 BRODIE ST SUITE 28
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4159
Mailing Address - Country:US
Mailing Address - Phone:512-443-8381
Mailing Address - Fax:512-443-8381
Practice Address - Street 1:2171 B WOODWARD
Practice Address - Street 2:CONCENTRA MEDICAL CENTER
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744
Practice Address - Country:US
Practice Address - Phone:512-440-0555
Practice Address - Fax:512-440-1113
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG26252083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine