Provider Demographics
NPI:1598974289
Name:DAVID C WINKLER MD PA
Entity Type:Organization
Organization Name:DAVID C WINKLER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-896-5900
Mailing Address - Street 1:1331 BANDERA HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-9515
Mailing Address - Country:US
Mailing Address - Phone:830-896-5900
Mailing Address - Fax:
Practice Address - Street 1:1331 BANDERA HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-9515
Practice Address - Country:US
Practice Address - Phone:830-896-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0073PZOtherBLUECROSS BLUESHIELD
TXH67077Medicare UPIN
TX0073PZOtherBLUECROSS BLUESHIELD