MEDICARE: DR. PAUL FRANCIS WINTER D.D.S.

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	1223G0001X	General Practice Dentistry	16234	TX

General Provider Information

NPI Number	:	1760520365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL FRANCIS WINTER D.D.S.

Provider Business Mailing Address
First Line	:	3505 SAGE RD
Second Line	:	#2104
City	:	HOUSTON
State	:	TX
Zip	:	77056-7016
Country	:	US
Telephone Number	:	713-965-0726
Fax Number	:

Provider Business Practice Location Address
First Line	:	4208 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6892
Country	:	US
Telephone Number	:	713-840-7745
Fax Number	:

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

Provider Enumeration Date	:	02/03/2007
Last Update Date	:	07/08/2007

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