Provider Demographics
NPI:1255431029
Name:WIN, ZAW T
Entity type:Individual
Prefix:
First Name:ZAW
Middle Name:T
Last Name:WIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 33RD ST NE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-3312
Mailing Address - Country:US
Mailing Address - Phone:903-782-9337
Mailing Address - Fax:214-221-5600
Practice Address - Street 1:3015 33RD ST NE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-3312
Practice Address - Country:US
Practice Address - Phone:903-782-9337
Practice Address - Fax:903-737-4157
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2755207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147555003Medicaid
TXP000307204OtherRAILROAD MEDICARE
TX147555003Medicaid