Individual
NICOLE T WINERITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9840 N BEACH ST, FORT WORTH, TX 76244-6184
(817) 431-3898
(817) 379-1161
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N6101
TX
Other
Enumeration date
05/16/2007
Last updated
04/13/2021
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