Individual
MR. WAYNE BORNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A
Contact information
Practice address
9011 JOHN W CARPENTER FWY, 101, DALLAS, TX 75247-4525
(214) 699-0330
Mailing address
4703 MCKINNEY AVE, 'A', DALLAS, TX 75205-5571
(972) 955-5955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
209067
TX
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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