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Organization
MARY WINBORN PA-C, PC
Active
Organization
MARY WINBORN PA-C, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WINBORN PA-C (PRESIDENT)
(469) 438-9070
Entity
Organization
Contact information
Practice address
1314 POINSETTIA BLVD, DENTON, TX 76208-7551
(469) 438-9070
Mailing address
1314 POINSETTIA BLVD, DENTON, TX 76208-7551
(469) 438-9070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285341801
—
TX
05
—
285341802
—
TX
05
—
285341803
—
TX
Enumeration date
05/05/2011
Last updated
02/23/2012
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