Provider Demographics
NPI:1326003625
Name:WINSTON, THOMAS PAYTON (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PAYTON
Last Name:WINSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 REGIONAL MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-9719
Mailing Address - Country:US
Mailing Address - Phone:979-532-1700
Mailing Address - Fax:979-532-6792
Practice Address - Street 1:2100 REGIONAL MEDICAL DR
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-9719
Practice Address - Country:US
Practice Address - Phone:979-532-1700
Practice Address - Fax:979-532-6792
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7319207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DE551OtherBC/BS#
TX080044884OtherRAILROAD GBA - RAILROAD MEDICARE
TXP01090554OtherRAILROAD MEDICARE PTAN
TX82C344OtherBC/BS TX#
TX117891507Medicaid
TX117891501Medicaid
TX82C344OtherBC/BS TX#
TX8DE551OtherBC/BS#
TXP01090554OtherRAILROAD MEDICARE PTAN