Individual
MS. WINIFRED RENE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14637 PEBBLE BEND DR, HOUSTON, TX 77068-2922
(936) 224-7990
(936) 224-3154
Mailing address
14637 PEBBLE BEND DR, HOUSTON, TX 77068-2922
(936) 224-7990
(936) 224-3154
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M5295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189062602
—
TX
05
—
189062604
—
TX
01
—
8R8316
BCBS
TX
Enumeration date
07/28/2006
Last updated
05/17/2023
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