Provider Demographics
NPI:1801377452
Name:WINSTEAD, DONNA ELAINE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:ELAINE
Last Name:WINSTEAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 710
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-0710
Mailing Address - Country:US
Mailing Address - Phone:254-562-3867
Mailing Address - Fax:
Practice Address - Street 1:831 TEHAUCANA HIGHWAY
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667
Practice Address - Country:US
Practice Address - Phone:254-562-3867
Practice Address - Fax:254-562-7753
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207848224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant