Jana M Winberg Mdpa
Family Medicine in Kountze, TX. Organization (NPI-2).
NPI number1285646323
StatusActive
Last updated in NPPESJul 2, 2010
Details
- NPI
- 1285646323
- Entity type
- Organization (NPI-2)
- Legal business name
- Jana M Winberg Mdpa
- Organization subpart
- No
- Enumeration date
- Aug 13, 2006
- Last updated
- Jul 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | L4815 | TX | Yes |
Other names
- Kountze Family Medicine Clinic (Doing Business As)
Practice location
345 S Pine StKountze, TX 77625-9329
Phone 409-246-1014 · Fax 409-246-1029
Mailing address
Po Box 727Kountze, TX 77625-0727
Phone 409-246-1014 · Fax 409-246-1029
Authorized official
Jana Marie Winberg
President
4092461014
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