Provider Demographics
NPI:1932325297
Name:WINDWARD SPECIALTY CARE LLP
Entity Type:Organization
Organization Name:WINDWARD SPECIALTY CARE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING & COLLECTIONS
Authorized Official - Prefix:
Authorized Official - First Name:DELAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSINGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-554-7515
Mailing Address - Street 1:3040 POST OAK BLVD
Mailing Address - Street 2:STE. 1230
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6500
Mailing Address - Country:US
Mailing Address - Phone:713-554-7500
Mailing Address - Fax:
Practice Address - Street 1:18929 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4270
Practice Address - Country:US
Practice Address - Phone:713-554-7515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical