Provider Demographics
NPI:1750355103
Name:FINKELSTEIN, JASON S (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:S
Last Name:FINKELSTEIN
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 1:8150 N CENTRAL EXPY
Mailing Address - Street 2:SUITE M1001
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-1815
Mailing Address - Country:US
Mailing Address - Phone:214-221-0022
Mailing Address - Fax:214-691-8292
Practice Address - Street 1:2401 S FM 51
Practice Address - Street 2:SUITE 200
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3781
Practice Address - Country:US
Practice Address - Phone:940-627-0044
Practice Address - Fax:940-627-0275
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4062207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7841534OtherAETNA PROVIDER NUMBER
IN200202660Medicaid
IN200202660Medicaid
TX7841534OtherAETNA PROVIDER NUMBER
INH68014Medicare UPIN
TX8G7646Medicare ID - Type UnspecifiedRURAL