Individual
DR. FRED DAVID WINTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3434 SWISS AVE, SUITE 105, DALLAS, TX 75204-6251
(214) 828-0010
(214) 828-0014
Mailing address
3434 SWISS AVE, SUITE 105, DALLAS, TX 75204-6251
(214) 828-0010
(214) 828-0014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E4771
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
E4771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131580603
—
TX
01
—
87X752
BCBS
TX
Enumeration date
08/15/2006
Last updated
07/05/2008
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