Basic Information
Provider Information
NPI: 1083651962
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINKIELMAN
FirstName: JAVIER
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6565 FANNIN ST STE 1003
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302703
CountryCode: US
TelephoneNumber: 7134411100
FaxNumber:  
Practice Location
Address1: 6565 FANNIN ST STE 1003
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302703
CountryCode: US
TelephoneNumber: 7134411100
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/01/2006
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X10031NDN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X45987TXY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
2610201NDBCBSOTHER
P0025607401NDRR MEDICAREOTHER
145427605ND MEDICAID


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