Individual
KENNETH L WINAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 RIVERWOOD CT, CONROE, TX 77304-2811
(936) 521-6100
Mailing address
PO BOX 3067, CONROE, TX 77305-3067
(936) 521-6100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E5284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137458912
—
TX
01
—
8V1980
BCBS
TX
Enumeration date
06/06/2006
Last updated
10/21/2011
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