MEDICARE: KATHERINE STAFFORD WINSBERG

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	363LF0000X	Family Nurse Practitioner	1211763	TX

General Provider Information

NPI Number	:	1225918204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE STAFFORD WINSBERG

Provider Business Mailing Address
First Line	:	4560 W MOCKINGBIRD LN # 124
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-5204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4560 W MOCKINGBIRD LN # 124
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-5204
Country	:	US
Telephone Number	:	214-352-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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Directions to “ KATHERINE STAFFORD WINSBERG ” Practice Location

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