Individual
DR. MARK L. WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4432 S LOOP 289, LUBBOCK, TX 79414-5005
(806) 793-0845
(806) 799-3987
Mailing address
4432 S LOOP 289, LUBBOCK, TX 79414-5005
(806) 793-0845
(806) 799-3987
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E9027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PC04
BLUE CROSS
—
01
—
040009551
RR MEDICARE
—
01
—
120346502
FIRST CARE MEDICAID
TX
05
—
120346502
—
TX
01
—
127130100
FIRST CARE INSURANCE
TX
01
—
4547130
AETNA INSURANCE
TX
Enumeration date
05/24/2005
Last updated
08/14/2008
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