Provider Demographics
NPI:1528055720
Name:WINFIELD, KEVIN SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:SCOTT
Last Name:WINFIELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:780 CLEAR LAKE CITY BLVD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-5500
Mailing Address - Country:US
Mailing Address - Phone:281-464-8988
Mailing Address - Fax:281-464-7744
Practice Address - Street 1:780 CLEAR LAKE CITY BLVD BLDG 2
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-5500
Practice Address - Country:US
Practice Address - Phone:281-464-8988
Practice Address - Fax:281-464-7744
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2024-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK3952207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG75500Medicare UPIN
TX8253B8Medicare PIN