Provider Demographics
NPI:1902119043
Name:WELLS, VALESKA ANDREE (DO)
Entity Type:Individual
Prefix:DR
First Name:VALESKA
Middle Name:ANDREE
Last Name:WELLS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 REGENCY SQUARE BLVD
Mailing Address - Street 2:STE 272
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3202
Mailing Address - Country:US
Mailing Address - Phone:713-840-9355
Mailing Address - Fax:866-285-2616
Practice Address - Street 1:7100 REGENCY SQUARE BLVD
Practice Address - Street 2:STE 272
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3202
Practice Address - Country:US
Practice Address - Phone:713-840-9355
Practice Address - Fax:866-285-2616
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1030207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine