Individual
BILLY MIKE WINKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
806 N FULTON ST, WHARTON, TX 77488-3946
(979) 532-0261
(979) 532-2886
Mailing address
PO BOX 887, WHARTON, TX 77488-0887
(979) 532-0261
(979) 532-2886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350002235
RAILROAD MEDICARE
TX
01
—
4203977
AETNA
TX
01
—
89840X
BLUE CROSS/BLUE SHIELD
TX
05
—
TPI#0010910-01
—
TX
Enumeration date
08/13/2006
Last updated
09/30/2014
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