MEDICARE: FEIGENBAUM NEUROSURGERY P.A.

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	174400000X	Specialist	P1751	TX

General Provider Information

NPI Number	:	1962776351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEIGENBAUM NEUROSURGERY P.A.

Provider Business Mailing Address
First Line	:	4925 GREENVILLE AVE STE 1307
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-4026
Country	:	US
Telephone Number	:	214-242-1389
Fax Number	:	214-351-8451

Provider Business Practice Location Address
First Line	:	4925 GREENVILLE AVE STE 1307
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-4026
Country	:	US
Telephone Number	:	214-242-1389
Fax Number	:	214-351-8451

Authorized Official
Title or Position	:	MEDICAL DOCTOR/MANAGING DIRECTOR
Name	:	FRANK FEIGENBAUM
Credential	:	MD
Telephone Number	:	214-242-1389

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	05/04/2022

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