Healthcare Provider Details

I. General information

NPI: 1295903219
Provider Name (Legal Business Name): JAMES D. WINTER & ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18333 EGRET BAY BLVD STE 101
HOUSTON TX
77058-3200
US

IV. Provider business mailing address

18333 EGRET BAY BLVD STE 101
HOUSTON TX
77058-3200
US

V. Phone/Fax

Practice location:
  • Phone: 281-488-5169
  • Fax: 281-335-7854
Mailing address:
  • Phone: 281-488-5169
  • Fax: 281-335-7854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State

VIII. Authorized Official

Name: JAMES DUANE WINTER
Title or Position: PRESIDENT
Credential: O.D.
Phone: 281-488-5169