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Individual

REBECCA L. WINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5201 HARRY HINES BLVD, WISH TUBAL CLINIC, DALLAS, TX 75235-7708
(214) 590-5306
(214) 590-2798
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
590255
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195866201
TX
05
195866202
TX
05
195866203
TX
05
195866204
TX
05
195866205
TX
05
195866206
TX
05
195866207
TX
05
195866208
TX
05
195866209
TX
05
195866210
TX
01
8Y5480
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/28/2006
Last updated
03/20/2009
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