Provider Demographics
NPI:1902836208
Name:WINSTON, LELAND (MD)
Entity Type:Individual
Prefix:
First Name:LELAND
Middle Name:
Last Name:WINSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-9000
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1186207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
616771110OtherUS DEPT OF LABOR
616771105OtherUS DEPT OF LABOR
TX8DY903OtherBLUE CROSS BLUE SHIELD
TX8S9711OtherBLUE CROSS BLUE SHIELD
TX123712505Medicaid
616771101OtherUS DEPT OF LABOR
TXP01070480OtherRR MEDICARE
TXP00243349OtherRAILROAD MEDICARE
TXP01253342OtherRR MEDICARE
TX610197300OtherUS DEPT OF LABOR
601771109OtherUS DEPT OF LABOR
TXP01253342OtherRR MEDICARE
601771109OtherUS DEPT OF LABOR
TX312974YMVQMedicare PIN