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General NPI Number Information
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NPI Number | 1992837330
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Entity Type | Organization
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Legal Business Name | LLOYD P VAN WINKLE, MD, PA
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 409 MADRID ST
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City | CASTROVILLE
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State | TX
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Zip | 78009-4527
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Country | US
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Telephone | 830-538-2254
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Fax | 830-931-2259
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Provider Business Mailing Address
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Address Line | PO BOX 960
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City | CASTROVILLE
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State | TX
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Zip | 78009-0960
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Country | US
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Telephone | 830-538-2254
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Fax | 830-931-2259
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | LLOYD P VANWINKLE
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Credential | MD
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Telephone | 830-538-2254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G3878
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License Number State | TX
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