Individual
TARA LYN WINKELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17183 INTERSTATE 45 S STE 410, SHENANDOAH, TX 77385
(281) 602-7380
(281) 602-7386
Mailing address
17183 INTERSTATE 45 S STE 410, SHENANDOAH, TX 77385-3313
(281) 602-7380
(281) 602-7386
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M9744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R8344
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
04/30/2008
Last updated
07/07/2022
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