Provider Demographics
NPI:1518949890
Name:WINSETT, OWEN E (MD)
Entity Type:Individual
Prefix:
First Name:OWEN
Middle Name:E
Last Name:WINSETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 EXPOSITION BLVD
Mailing Address - Street 2:STE G 15
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703
Mailing Address - Country:US
Mailing Address - Phone:512-451-5788
Mailing Address - Fax:512-433-6100
Practice Address - Street 1:2630 EXPOSITION BLVD
Practice Address - Street 2:STE G 15
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703
Practice Address - Country:US
Practice Address - Phone:512-451-5788
Practice Address - Fax:512-433-6100
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF4700208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A11SOtherBCBS
127122100OtherFIRST CARE
020045729OtherRAILROAD MEDICARE