MEDICARE: NORTH HOUSTON ENDOSCOPY, P.A

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	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1083916548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH HOUSTON ENDOSCOPY, P.A

Provider Business Mailing Address
First Line	:	3079 PEACHTREE INDUSTRIAL BLVD
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-2215
Country	:	US
Telephone Number	:	770-945-5330
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 CYPRESS STATION DR
Second Line	:	#306
City	:	HOUSTON
State	:	TX
Zip	:	77090-3045
Country	:	US
Telephone Number	:	281-440-3618
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BARRY WINSTON
Credential	:
Telephone Number	:	281-440-3618

Provider Enumeration Date	:	12/03/2010
Last Update Date	:	12/03/2010

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