Provider Demographics
NPI:1861511537
Name:WINQUIST, ANNE GREER (HIS)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:GREER
Last Name:WINQUIST
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5526
Mailing Address - Country:US
Mailing Address - Phone:817-613-8740
Mailing Address - Fax:817-599-6308
Practice Address - Street 1:1211 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5526
Practice Address - Country:US
Practice Address - Phone:817-613-8740
Practice Address - Fax:817-599-6308
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50496237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531335OtherBCBS