Provider Demographics
NPI:1164416285
Name:WINBERG, JANA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:MARIE
Last Name:WINBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:MARIE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:KOUNTZE
Mailing Address - State:TX
Mailing Address - Zip Code:77625-0727
Mailing Address - Country:US
Mailing Address - Phone:409-246-1014
Mailing Address - Fax:409-246-1029
Practice Address - Street 1:345 S PINE ST
Practice Address - Street 2:
Practice Address - City:KOUNTZE
Practice Address - State:TX
Practice Address - Zip Code:77625-9329
Practice Address - Country:US
Practice Address - Phone:409-246-1014
Practice Address - Fax:409-246-1029
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4815207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4556334OtherCIGNA
TX1538498-03Medicaid
TX1538498-02Medicaid
TX7092365OtherAETNA
TX8P6170OtherBCBS
TX1538498-03Medicaid
TX8C7030Medicare PIN
TXH60785Medicare UPIN
TXP00320659Medicare PIN
TX8P6170OtherBCBS