MEDICARE: DR. BARRY P. WEINSTEIN D.P.M.

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	213E00000X	Podiatrist	0905	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154315091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY P. WEINSTEIN D.P.M.

Provider Business Mailing Address
First Line	:	4234 ELLA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-4210
Country	:	US
Telephone Number	:	713-680-1979
Fax Number	:	713-680-1978

Provider Business Practice Location Address
First Line	:	4234 ELLA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-4210
Country	:	US
Telephone Number	:	713-680-1979
Fax Number	:	713-680-1978

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	05/22/2018

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Directions to “ DR. BARRY P. WEINSTEIN D.P.M.” Practice Location

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