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General NPI Number Information
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NPI Number | 1902995665
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Entity Type | Individual
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Provider Name | NORMAN ALAN SHOENFELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2615 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77002-9224
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Country | US
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Telephone | 713-228-9411
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Fax |
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Provider Business Mailing Address
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Address Line | 17769 GRANT RD
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City | CYPRESS
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State | TX
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Zip | 77429-7122
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Country | US
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Telephone | 281-815-1309
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Fax | 281-688-2673
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 25MA54803
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | L8508
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License Number State | TX
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