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NPI Code Detail

MEDICARE: DAVINCI MEDICAL, LLC

MEDICARE: DAVINCI MEDICAL, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianM4062TX

General Provider Information

NPI Number : 1528436565
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVINCI MEDICAL, LLC
Provider Business Mailing Address
First Line : 6809 SAWGRASS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-7103
Country : US
Telephone Number : 817-983-3717
Fax Number :
Provider Business Practice Location Address
First Line : 6809 SAWGRASS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-7103
Country : US
Telephone Number : 817-983-3717
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JASON S FINKELSTEIN
Credential : MD
Telephone Number : 817-983-3717
Provider Enumeration Date : 09/08/2015
Last Update Date : 09/08/2015

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Directions to “DAVINCI MEDICAL, LLC ” Practice Location

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