Individual
JEFFREY S FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6750 N MACARTHUR BLVD STE 300, IRVING, TX 75039
(972) 253-4205
(972) 401-0458
Mailing address
PO BOX 986, COLLEYVILLE, TX 76034-0986
(817) 571-8181
(817) 510-1217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
018765
LA
207RG0100X
Gastroenterology Physician
Primary
M6131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1847469 01
—
TX
05
—
1934348
—
LA
Enumeration date
06/01/2005
Last updated
08/07/2018
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