MEDICARE: MOSHE FELDHENDLER, MD PA

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
1	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0042RT	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1619149549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSHE FELDHENDLER, MD PA

Provider Business Mailing Address
First Line	:	PO BOX 797947
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75379-7947
Country	:	US
Telephone Number	:	214-500-5288
Fax Number	:	972-677-7769

Provider Business Practice Location Address
First Line	:	6815 SAWMILL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5817
Country	:	US
Telephone Number	:	214-500-5288
Fax Number	:	972-677-7769

Authorized Official
Title or Position	:	AUTHORIZED REPRESENATIVE/ OWNER
Name	:	DR. MOSHE FELDHENDLER
Credential	:	M.D.
Telephone Number	:	214-500-5755

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	09/17/2010

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