Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 10031 | ND |
Y | 207RC0200X | Critical Care Medicine | 45987 | TX |
NPI | 1083651962 |
---|---|
Provider Name | Dr. Javier D Finkielman |
First Address | Houston, TX 77030-2703 |
Second Address | Houston, TX 77030-2703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1454276 | (05) | ND |
26102 | BCBS (01) | ND |
H41159 | (02) | ND |
P00256074 | RR MEDICARE (01) | ND |