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Individual
DR. MARK L. WINTER
Active
Individual
DR. MARK L. WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E9027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PC04
BLUE CROSS
—
01
—
040009551
RR MEDICARE
—
01
—
120346502
FIRST CARE MEDICAID
TX
05
—
120346502
—
TX
01
—
127130100
FIRST CARE INSURANCE
TX
01
—
4547130
AETNA INSURANCE
TX
Enumeration date
05/24/2005
Last updated
08/14/2008
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