Provider Demographics
NPI:1174516579
Name:WIN, ZAW (MD)
Entity type:Individual
Prefix:DR
First Name:ZAW
Middle Name:
Last Name:WIN
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:PO BOX 799
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77549-0799
Mailing Address - Country:US
Mailing Address - Phone:281-993-3733
Mailing Address - Fax:281-648-2200
Practice Address - Street 1:505 E PALM VALLEY BLVD STE 240
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:281-993-3733
Practice Address - Fax:281-648-2200
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360989512084P0800X
TXS36122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX402317801Medicaid
IL036098951Medicaid
ILL98895Medicare ID - Type Unspecified