Provider Demographics
NPI:1609867241
Name:FEINSTEIN, JEFFREY ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ALEXANDER
Last Name:FEINSTEIN
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 1:8930 FOURWINDS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-1971
Mailing Address - Country:US
Mailing Address - Phone:210-590-9596
Mailing Address - Fax:
Practice Address - Street 1:8930 FOURWINDS DR STE 100
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-1971
Practice Address - Country:US
Practice Address - Phone:210-590-9596
Practice Address - Fax:210-590-6227
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2320207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150196Medicare UPIN
TX612355Medicare PIN