MEDICARE: ELIZABETH C. N. WINFUL-ACQUAYE M.D.

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	208000000X	Pediatrics Physician	L9963	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	:	1497776991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH C. N. WINFUL-ACQUAYE M.D.

Provider Business Mailing Address
First Line	:	6210 E HWY 290
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1142
Country	:	US
Telephone Number	:	512-483-9596
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	AUSTIN REGIONAL CLINIC
Second Line	:	12779 WEST SH 29
City	:	LIBERTY HILL
State	:	TX
Zip	:	78642-6332
Country	:	US
Telephone Number	:	512-778-7003
Fax Number	:	512-406-7317

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/20/2023

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