Provider Demographics
NPI:1902995665
Name:SHOENFELD, NORMAN ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ALAN
Last Name:SHOENFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10625 TELGE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5023
Mailing Address - Country:US
Mailing Address - Phone:281-815-1300
Mailing Address - Fax:973-535-2565
Practice Address - Street 1:2615 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9224
Practice Address - Country:US
Practice Address - Phone:713-228-9411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA548032086S0129X
TXL85082086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery