MEDICARE: CHRISTINA WOLINSKI

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	156FX1800X	Optician

General Provider Information

NPI Number	:	1558636324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA WOLINSKI

Provider Business Mailing Address
First Line	:	3789 N BEACH ST
Second Line	:	SUITE 213
City	:	FORT WORTH
State	:	TX
Zip	:	76137-3244
Country	:	US
Telephone Number	:	817-546-5251
Fax Number	:	817-546-5256

Provider Business Practice Location Address
First Line	:	3789 N BEACH ST
Second Line	:	SUITE 213
City	:	FORT WORTH
State	:	TX
Zip	:	76137-3244
Country	:	US
Telephone Number	:	817-546-5251
Fax Number	:	817-546-5256

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

Provider Enumeration Date	:	03/13/2012
Last Update Date	:	03/13/2012

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Directions to “ CHRISTINA WOLINSKI ” Practice Location

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