Individual
RICHARD E WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-9410
(806) 743-3150
(806) 743-3168
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-3150
(806) 743-3168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G0583
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G0583
TX
207RI0200X
Infectious Disease Physician
Primary
G0583
TX
207RP1001X
Pulmonary Disease Physician
G0583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129062906
—
TX
01
—
823276
TX MEDICARE- PREMIER
TX
01
—
8M2692
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/06/2006
Last updated
08/22/2020
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