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NPI Code Detail

MEDICARE: WINSLOW MEDICAL CENTER, INC.

MEDICARE: WINSLOW MEDICAL CENTER, INC.
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
1302R00000XHealth Maintenance OrganizationM3356TX

General Provider Information

NPI Number : 1568652709
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINSLOW MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 2601 W LAKE HOUSTON PKWY
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-5222
Country : US
Telephone Number : 281-360-7502
Fax Number :
Provider Business Practice Location Address
First Line : 2601 W LAKE HOUSTON PKWY
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-5222
Country : US
Telephone Number : 281-360-7502
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : GEORGE RODNEY PETRY
Credential : MD
Telephone Number : 281-360-7502
Provider Enumeration Date : 07/25/2007
Last Update Date : 01/17/2011

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Directions to “WINSLOW MEDICAL CENTER, INC. ” Practice Location

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