MEDICARE: DR. FELICA RENA WINTERS M.ED, PHD

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	101Y00000X	Counselor		TX

General Provider Information

NPI Number	:	1124356639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELICA RENA WINTERS M.ED, PHD

Provider Business Mailing Address
First Line	:	11881 GULF POINTE DR
Second Line	:	L31
City	:	HOUSTON
State	:	TX
Zip	:	77089-2741
Country	:	US
Telephone Number	:	713-444-5488
Fax Number	:

Provider Business Practice Location Address
First Line	:	2715 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9217
Country	:	US
Telephone Number	:	713-654-7770
Fax Number	:	713-654-7703

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2009
Last Update Date	:	11/20/2009

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