Provider Demographics
NPI:1285236000
Name:WELLS, JACEE ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JACEE
Middle Name:ANN
Last Name:WELLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:STOCKDALE
Mailing Address - State:TX
Mailing Address - Zip Code:78160-0427
Mailing Address - Country:US
Mailing Address - Phone:830-560-6492
Mailing Address - Fax:
Practice Address - Street 1:1367 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-3962
Practice Address - Country:US
Practice Address - Phone:830-379-2944
Practice Address - Fax:830-303-2944
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor