Individual
MR. JOHN EMERSON WINEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 WOOD AVE, WOODSBORO, TX 78393
(361) 543-5414
(361) 543-5420
Mailing address
120 WOOD AVE, WOODSBORO, TX 78393
(361) 543-5414
(361) 543-5420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA02729
STATE LICENSE NUMBER
TX
Enumeration date
02/12/2007
Last updated
07/08/2007
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