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NPI Code Detail

MEDICARE: JENNIFER WINTER

MEDICARE:   JENNIFER  WINTER
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
1246Z00000XOther Specialist/Technologist1011215TX

General Provider Information

NPI Number : 1497605315
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER WINTER
Provider Business Mailing Address
First Line : 520 NW JAYELLEN AVE
Second Line :
City : BURLESON
State : TX
Zip : 76028-5256
Country : US
Telephone Number : 262-758-7187
Fax Number :
Provider Business Practice Location Address
First Line : 5844 SW LOOP 820 # 138
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-1868
Country : US
Telephone Number : 262-758-7187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “ JENNIFER WINTER ” Practice Location

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