Provider Demographics
NPI:1063478725
Name:WINSTON, BARRY DAVID (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:DAVID
Last Name:WINSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 E MOSSY OAKS RD
Mailing Address - Street 2:STE. 480
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1768
Mailing Address - Country:US
Mailing Address - Phone:281-440-3618
Mailing Address - Fax:281-440-6573
Practice Address - Street 1:2255 E MOSSY OAKS RD
Practice Address - Street 2:SUITE 480
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1768
Practice Address - Country:US
Practice Address - Phone:281-440-3618
Practice Address - Fax:281-440-6573
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1185207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27621Medicare UPIN
TX81A187Medicare PIN