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NPI Code Detail

MEDICARE: HARVEY I WINE DPM

MEDICARE:   HARVEY I WINE  DPM
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
1213E00000XPodiatrist0412TX

General Provider Information

NPI Number : 1942200241
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARVEY I WINE DPM
Provider Business Mailing Address
First Line : 4461 COIT RD
Second Line : SUITE 409
City : FRISCO
State : TX
Zip : 75035-0526
Country : US
Telephone Number : 972-712-7773
Fax Number : 972-712-3134
Provider Business Practice Location Address
First Line : 4461 COIT RD
Second Line : SUITE 409
City : FRISCO
State : TX
Zip : 75035-0526
Country : US
Telephone Number : 972-596-1331
Fax Number : 972-867-5485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/08/2007

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Directions to “ HARVEY I WINE DPM” Practice Location

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