MEDICARE: DR. ANDREA WINTERS 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	103TH0004X	Health Psychologist	40240	TX

General Provider Information

NPI Number	:	1124979034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA WINTERS PHD

Provider Business Mailing Address
First Line	:	3902 DALLAS ST APT 8
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-1748
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2455 S BRAESWOOD BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4305
Country	:	US
Telephone Number	:	713-797-5942
Fax Number	:

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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