Provider Demographics
NPI:1205874773
Name:M. WINTER & ASSOCIATES PEDIATRIC THERAPY CENTERS, LTD
Entity type:Organization
Organization Name:M. WINTER & ASSOCIATES PEDIATRIC THERAPY CENTERS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5138
Mailing Address - Country:US
Mailing Address - Phone:713-528-3030
Mailing Address - Fax:713-528-0442
Practice Address - Street 1:9900 WESTPARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5138
Practice Address - Country:US
Practice Address - Phone:713-528-3030
Practice Address - Fax:713-528-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153765601Medicaid
TX676536Medicare Oscar/Certification