# WINNIE KING AESTHETICS AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538719471
- **Authorized official:** WINIFRED RENE KING MD (OWNER)
- **Authorized official phone:** (936) 224-7990

## Contact information

- **Practice address:** 14637 PEBBLE BEND DR, HOUSTON, TX 77068-2922
- **Practice address phone:** (936) 224-7990
- **Practice address fax:** (936) 224-3154
- **Mailing address:** 14637 PEBBLE BEND DR, HOUSTON, TX 77068-2922
- **Mailing address phone:** (936) 224-7990
- **Mailing address fax:** (936) 224-3154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2019
- **Last updated:** 05/17/2023