Provider Demographics
NPI:1629070362
Name:FEINGOLD, RICHARD J (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:FEINGOLD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1643 LANCASTER DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3593
Mailing Address - Country:US
Mailing Address - Phone:817-329-7670
Mailing Address - Fax:817-416-0145
Practice Address - Street 1:1643 LANCASTER DR
Practice Address - Street 2:SUITE 203
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3593
Practice Address - Country:US
Practice Address - Phone:817-329-7670
Practice Address - Fax:817-416-0145
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6829207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139023916Medicaid
TX139023917Medicaid
TX8CM940OtherBCBSTX
TX139023916Medicaid
A66346Medicare UPIN
TXP00927066Medicare PIN
TXTXB113012Medicare PIN