| Thomas S. Winston M.d. Pa | |
|
2400 Line Ave Amarillo TX 79106-6639 | |
| (806) 342-4722 | |
| Not Available |
| Full Name | Thomas S. Winston M.d. Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 Line Ave, Amarillo, Texas |
| Authorized Official Name and Position | Thomas Sanford Winston (PRESIDENT) |
| Authorized Official Contact | 8062364709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas S. Winston M.d. Pa 2400 Line Ave Amarillo TX 79106-6639 Ph: (806) 342-4722 | Thomas S. Winston M.d. Pa 2400 Line Ave Amarillo TX 79106-6639 Ph: (806) 342-4722 |
| NPI Number | 1750609475 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 10/03/2011 |
| Medicare PECOS PAC ID | 7315070901 |
|---|---|
| Medicare Enrollment ID | O20100803000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750609475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K2827 (Texas) | Primary |
| Provider Name | Thomas S Winston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083624308 PECOS PAC ID: 0244221232 Enrollment ID: I20040519000814 |
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