MEDICARE: JOEL S WOLINSKEY MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	K1135	TX

General Provider Information

NPI Number	:	1154347318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL S WOLINSKEY MD PA

Provider Business Mailing Address
First Line	:	PO BOX 2367
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77402-2367
Country	:	US
Telephone Number	:	713-772-7300
Fax Number	:	713-772-1364

Provider Business Practice Location Address
First Line	:	7777 SOUTHWEST FRWY
Second Line	:	SUITE 506
City	:	HOUSTON
State	:	TX
Zip	:	77074-1816
Country	:	US
Telephone Number	:	713-772-7300
Fax Number	:	713-772-1364

Authorized Official
Title or Position	:	NEUROLOGIST PHYSICIAN PRESIDENT
Name	:	JOEL S WOLINSKY
Credential	:	MD
Telephone Number	:	713-772-7300

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	10/23/2007

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