Provider Demographics
NPI:1295341774
Name:WINZER, SHELLIE (DC)
Entity type:Individual
Prefix:DR
First Name:SHELLIE
Middle Name:
Last Name:WINZER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SHELLIE
Other - Middle Name:N
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:10540 S POST OAK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-3306
Mailing Address - Country:US
Mailing Address - Phone:713-723-8300
Mailing Address - Fax:713-723-8303
Practice Address - Street 1:10540 S POST OAK RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-3306
Practice Address - Country:US
Practice Address - Phone:713-723-8300
Practice Address - Fax:713-723-8303
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-19
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1649576307OtherNPPES