Provider Demographics
NPI:1205906674
Name:FELDHENDLER, MOSHE (MD)
Entity type:Individual
Prefix:DR
First Name:MOSHE
Middle Name:
Last Name:FELDHENDLER
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:PO BOX 797947
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-7947
Mailing Address - Country:US
Mailing Address - Phone:214-500-5755
Mailing Address - Fax:972-677-7769
Practice Address - Street 1:6815 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5817
Practice Address - Country:US
Practice Address - Phone:214-500-5755
Practice Address - Fax:972-677-7769
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI48202207L00000X
TXM6129207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0042RTOtherBCBS
TX1991408-01Medicaid
TX0A0076Medicare PIN