Provider Demographics
NPI:1316268659
Name:WELLS, JOEL EDWYN (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:EDWYN
Last Name:WELLS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-266-2600
Mailing Address - Fax:214-590-2773
Practice Address - Street 1:1801 INWOOD RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-8883
Practice Address - Country:US
Practice Address - Phone:214-645-3300
Practice Address - Fax:214-645-3301
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ8675207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316268659OtherSTATE NPI