Provider Demographics
NPI:1558589549
Name:WINANS, ROBERT GIBSON
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:GIBSON
Last Name:WINANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:G
Other - Last Name:WINANS MD ASSOC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:309 ZUBIN RD
Mailing Address - Street 2:
Mailing Address - City:BIG SANDY
Mailing Address - State:TX
Mailing Address - Zip Code:75755-3144
Mailing Address - Country:US
Mailing Address - Phone:903-725-5823
Mailing Address - Fax:903-725-3540
Practice Address - Street 1:309 ZUBIN RD
Practice Address - Street 2:
Practice Address - City:BIG SANDY
Practice Address - State:TX
Practice Address - Zip Code:75755-3144
Practice Address - Country:US
Practice Address - Phone:903-725-5823
Practice Address - Fax:903-725-3540
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2008-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2392207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery