Provider Demographics
NPI:1891728085
Name:M WINTER & ASSOCIATES PEDIATRIC REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:M WINTER & ASSOCIATES PEDIATRIC REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHELE
Authorized Official - Middle Name:LEBLANC
Authorized Official - Last Name:RENFROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-528-3030
Mailing Address - Street 1:9900 WESTPARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5278
Mailing Address - Country:US
Mailing Address - Phone:713-528-3030
Mailing Address - Fax:713-528-0442
Practice Address - Street 1:1260 PIN OAK ROAD
Practice Address - Street 2:STE 108
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5603
Practice Address - Country:US
Practice Address - Phone:281-395-5599
Practice Address - Fax:281-395-5615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0994401902Medicaid
TX0994401902Medicaid