Provider Demographics
NPI:1558636324
Name:WOLINSKI, CHRISTINA
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WOLINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3789 N BEACH ST
Mailing Address - Street 2:SUITE 213
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-3244
Mailing Address - Country:US
Mailing Address - Phone:817-546-5251
Mailing Address - Fax:817-546-5256
Practice Address - Street 1:3789 N BEACH ST
Practice Address - Street 2:SUITE 213
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-3244
Practice Address - Country:US
Practice Address - Phone:817-546-5251
Practice Address - Fax:817-546-5256
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician