Basic Information
Provider Information
NPI: 1326547746
EntityType: 2
ReplacementNPI:  
OrganizationName: NTINH ACUTE MANAGEMENT & PAIN PLLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 797906
Address2:  
City: DALLAS
State: TX
PostalCode: 753797906
CountryCode: US
TelephoneNumber: 9723319048
FaxNumber: 8887706360
Practice Location
Address1: 17330 PRESTON RD STE 200D
Address2:  
City: DALLAS
State: TX
PostalCode: 752526106
CountryCode: US
TelephoneNumber: 9723319048
FaxNumber: 8887706360
Other Information
ProviderEnumerationDate: 02/12/2018
LastUpdateDate: 02/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: FELDHENDLER
AuthorizedOfficialFirstName: MOSHE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: ADMIN
AuthorizedOfficialTelephone: 2145005755
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900X  Y193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


Home