Organization
BRUCE L. WINTER M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE D PERRY M.A. (ADMINISTRATOR)
(210) 377-0350
Entity
Organization
Contact information
Practice address
2929 MOSSROCK, SUITE 104, SAN ANTONIO, TX 78249-5141
(210) 377-0350
(210) 377-2982
Mailing address
2929 MOSSROCK, SUITE 104, SAN ANTONIO, TX 78249-5141
(210) 377-0350
(210) 377-2982
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152016502
—
TX
05
—
177732801
—
TX
Enumeration date
08/29/2007
Last updated
10/12/2011
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