Provider Demographics
NPI:1023345626
Name:J. WEINSTEIN, M.D., P.A.
Entity type:Organization
Organization Name:J. WEINSTEIN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-668-8300
Mailing Address - Street 1:5575 WARREN PKWY
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4062
Mailing Address - Country:US
Mailing Address - Phone:972-668-8300
Mailing Address - Fax:972-668-8301
Practice Address - Street 1:5575 WARREN PKWY
Practice Address - Street 2:SUITE 116
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4062
Practice Address - Country:US
Practice Address - Phone:972-668-8300
Practice Address - Fax:972-668-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5181207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR148676001Medicaid
TX155021203Medicaid
TXTXB109113Medicare PIN
G70309Medicare UPIN
TXTXB109112Medicare PIN