MEDICARE: DR. BARRY P. WEINSTEIN

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	213E00000X	Podiatrist	0905	TX

General Provider Information

NPI Number	:	1962673830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. BARRY P. WEINSTEIN

Provider Business Mailing Address
First Line	:	4234 ELLA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-4210
Country	:	US
Telephone Number	:	713-680-1979
Fax Number	:

Provider Business Practice Location Address
First Line	:	4234 ELLA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-4210
Country	:	US
Telephone Number	:	713-680-1979
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. BARRY WEINSTEIN
Credential	:	D.P.M.
Telephone Number	:	713-680-1979

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	03/18/2008

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