MEDICARE: DR. WINETTA CAROL BILLINGS 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	207Q00000X	Family Medicine Physician	F9207	TX

General Provider Information

NPI Number	:	1700172525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WINETTA CAROL BILLINGS M.D.

Provider Business Mailing Address
First Line	:	6914 LA MIRADA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2439
Country	:	US
Telephone Number	:	281-575-0648
Fax Number	:	281-575-0745

Provider Business Practice Location Address
First Line	:	6914 LA MIRADA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2439
Country	:	US
Telephone Number	:	281-575-0648
Fax Number	:	281-575-0745

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

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	06/20/2011

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