Provider Demographics
NPI:1609888965
Name:FEINSTEIN, DAVID M (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
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 1:5232 FOREST LN STE 170
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-8053
Mailing Address - Country:US
Mailing Address - Phone:214-964-0888
Mailing Address - Fax:214-484-1718
Practice Address - Street 1:5232 FOREST LN STE 170
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-8053
Practice Address - Country:US
Practice Address - Phone:214-964-0888
Practice Address - Fax:214-484-1718
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0999174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX751885389OtherTAX ID
TX00FF92Medicare PIN
TX00FF92Medicare ID - Type UnspecifiedMEDICARE/BCBS
TXB22668Medicare UPIN