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NPI Code Detail

MEDICARE: WINTER PEDIATRIC THERAPY

MEDICARE: WINTER PEDIATRIC THERAPY
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
1174400000XSpecialist113450TX

General Provider Information

NPI Number : 1508139411
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINTER PEDIATRIC THERAPY
Provider Business Mailing Address
First Line : 9900 WESTPARK DR STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77063-5278
Country : US
Telephone Number : 713-528-3030
Fax Number :
Provider Business Practice Location Address
First Line : 9900 WESTPARK DR STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77063-5278
Country : US
Telephone Number : 713-528-3030
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. MICHAEL WINTER
Credential :
Telephone Number : 713-528-3030
Provider Enumeration Date : 02/23/2012
Last Update Date : 02/23/2012

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Directions to “WINTER PEDIATRIC THERAPY ” Practice Location

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