Provider Demographics
NPI:1528153871
Name:WINTERFELD, TOM A (MED)
Entity type:Individual
Prefix:MR
First Name:TOM
Middle Name:A
Last Name:WINTERFELD
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 HERITAGE BEND CT
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-3115
Mailing Address - Country:US
Mailing Address - Phone:281-639-8265
Mailing Address - Fax:
Practice Address - Street 1:3741 RED BLUFF RD
Practice Address - Street 2:STE. 315
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77503-3318
Practice Address - Country:US
Practice Address - Phone:713-475-0072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11273101YP2500X
TX003622106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional