| Organization Name: | WELLMED MEDICAL GROUP PA |
| NPI Number: | 1487843975 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMAN THEODORE CRABB (DOCTOR OF OSTEOPATHIC MEDICINE) |
| Mailing Address: | 2713 Main St Ingleside |
| State: | TX US |
| Postal Code: | 78362 |
| Phone Number: | 3617765107 |
| Fax Number: | 3617765136 |
| NPI Enumeration Date: | 10/19/2007 |
| NPI Last Update Date: | 08/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | M0044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |