| Organization Name: | LLOYD P VAN WINKLE, MD, PA |
| NPI Number: | 1992837330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LLOYD P VAN WINKLE (OWNER/S CORPORATION) |
| Mailing Address: | 409 Madrid St Castroville |
| State: | TX US |
| Postal Code: | 780094527 |
| Phone Number: | 8305382254 |
| Fax Number: | 8309312259 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 07/15/2008 |
| NPI Reactivation Date: | 10/07/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | G3878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |