Basic Information
| Provider Information | |||||||||
| NPI: | 1396823969 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REX WINTERS, M.D.INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10601 WALKER ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CYPRESS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906304733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146562140 | ||||||||
| FaxNumber: | 7142528482 | ||||||||
| Practice Location | |||||||||
| Address1: | 10601 WALKER ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CYPRESS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146562140 | ||||||||
| FaxNumber: | 7142528482 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 06/07/2011 | ||||||||
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| AuthorizedOfficialLastName: | WINTERS | ||||||||
| AuthorizedOfficialFirstName: | REX | ||||||||
| AuthorizedOfficialMiddleName: | JAY | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5625958671 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | G65833 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.