Provider Demographics
NPI:1669442323
Name:SHEINBERG, JONATHAN I (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:I
Last Name:SHEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:254-724-2111
Mailing Address - Fax:
Practice Address - Street 1:5656 BEE CAVE RD
Practice Address - Street 2:BLDG M, SUITE 300
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:512-807-3270
Practice Address - Fax:512-807-3328
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8189207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165257003Medicaid
TXP00259742OtherMEDICARE RAILROAD
TX8G0294Medicare PIN
TX165257003Medicaid
TX8J3191Medicare PIN