Provider Demographics
NPI:1700255023
Name:GINSBERG, SHELDON (BS EXERCISE SCIENC)
Entity Type:Individual
Prefix:MR
First Name:SHELDON
Middle Name:
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:BS EXERCISE SCIENC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15150 BLANCO ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232
Mailing Address - Country:US
Mailing Address - Phone:210-259-9338
Mailing Address - Fax:
Practice Address - Street 1:15150 BLANCO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3308
Practice Address - Country:US
Practice Address - Phone:210-259-9338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist