MEDICARE: DR. THOMAS P WINKLER M.D.

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	207Q00000X	Family Medicine Physician	H3959	TX

General Provider Information

NPI Number	:	1336197128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS P WINKLER M.D.

Provider Business Mailing Address
First Line	:	2821 E PRESIDENT GEORGE BUSH HWY
Second Line	:	STE 100
City	:	RICHARDSON
State	:	TX
Zip	:	75082-4266
Country	:	US
Telephone Number	:	214-575-3422
Fax Number	:	214-575-9929

Provider Business Practice Location Address
First Line	:	2821 E PRESIDENT GEORGE BUSH HWY
Second Line	:	STE 100
City	:	RICHARDSON
State	:	TX
Zip	:	75082-4266
Country	:	US
Telephone Number	:	214-575-3422
Fax Number	:	214-575-9929

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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