Provider Demographics
NPI:1316131758
Name:WELLS BRANCH INTERNAL MEDICINE, P.A.
Entity type:Organization
Organization Name:WELLS BRANCH INTERNAL MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARUNAKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNAPUREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-306-8696
Mailing Address - Street 1:PO BOX 201706
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78720-1706
Mailing Address - Country:US
Mailing Address - Phone:512-306-8696
Mailing Address - Fax:512-306-8696
Practice Address - Street 1:9121 ATWATER CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78733-3233
Practice Address - Country:US
Practice Address - Phone:512-306-8696
Practice Address - Fax:512-306-8696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00415TMedicare PIN