Healthcare Provider Details

I. General information

NPI: 1225227499
Provider Name (Legal Business Name): JOEL S WOLINSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 JOSHUA RD
WEATHERFORD TX
76087-6036
US

IV. Provider business mailing address

PO BOX 62428
FORT MYERS FL
33906-2428
US

V. Phone/Fax

Practice location:
  • Phone: 281-265-1776
  • Fax: 239-215-0065
Mailing address:
  • Phone: 281-265-1776
  • Fax: 239-215-0065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number031554
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberK1135
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: