Organization
WINLOCK MEDICAL SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FARIAS (MANAGER)
(713) 576-6903
Entity
Organization
Contact information
Practice address
1231 AGNES, SUITE A-1, CORPUS CHRISTI, TX 78401
(713) 576-6903
Mailing address
PO BOX 9359, THE WOODLANDS, TX 77387-0000
(713) 576-6903
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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