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Individual

JOHN W. WINTER IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PA

Contact information

Practice address
2929 BRYN MAWR DR, DALLAS, TX 75225-7817
(214) 394-7860
(214) 696-1036
Mailing address
2929 BRYN MAWR DR, DALLAS, TX 75225-7817
(214) 394-7860
(214) 696-1036

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E1969
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
097319002
TX
Enumeration date
07/07/2006
Last updated
02/10/2019
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