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General NPI Number Information
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NPI Number | 1376937003
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Entity Type | Organization
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Legal Business Name | WINNIE COMMUNITY HOSPITAL, L.L.C.
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 20925 IH 10
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City | VIDOR
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State | TX
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Zip | 77662-2557
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Country | US
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Telephone | 409-769-2295
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Fax | 409-769-3373
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Provider Business Mailing Address
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Address Line | 538 BROADWAY
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City | WINNIE
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State | TX
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Zip | 77665-7600
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Country | US
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Telephone | 409-296-6000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MUHAMMAD TAHIR JAVED
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Credential |
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Telephone | 409-840-9601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00871
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP1208950
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License Number State | TX
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