Provider Demographics
NPI:1356550172
Name:WINDER, DEBBI LOUISE (PA-C)
Entity type:Individual
Prefix:
First Name:DEBBI
Middle Name:LOUISE
Last Name:WINDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 W ANDERSON LN
Mailing Address - Street 2:SUITE 205
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1501
Mailing Address - Country:US
Mailing Address - Phone:512-343-6223
Mailing Address - Fax:
Practice Address - Street 1:911 W ANDERSON LN
Practice Address - Street 2:SUITE 205
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1501
Practice Address - Country:US
Practice Address - Phone:512-343-6223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00323363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant