Provider Demographics
NPI:1588159446
Name:FEINBERG, JOANNA (LICENSED ACUPUNCTURE)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16325 GOLDENWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-9019
Mailing Address - Country:US
Mailing Address - Phone:512-481-1220
Mailing Address - Fax:
Practice Address - Street 1:16325 GOLDENWOOD WAY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-9019
Practice Address - Country:US
Practice Address - Phone:512-481-1220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-24
Last Update Date:2018-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00645171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171100000XOtherTEXAS MEDICAL BOARD