Provider Demographics
NPI:1518293232
Name:WINLOCK MEDICAL SURGICAL LLC
Entity Type:Organization
Organization Name:WINLOCK MEDICAL SURGICAL LLC
Other - Org Name:WINLOCK MEDICAL MARKETING-POSITIVE HEALTH MNGT.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:FARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-667-2300
Mailing Address - Street 1:PO BOX 9359
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-9359
Mailing Address - Country:US
Mailing Address - Phone:713-667-2300
Mailing Address - Fax:713-667-2307
Practice Address - Street 1:2626 S LOOP W
Practice Address - Street 2:STE 265
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2654
Practice Address - Country:US
Practice Address - Phone:713-667-2300
Practice Address - Fax:713-661-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty