| Doctor Name: | JEFFREY S FINE |
| NPI Number: | 1649272816 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 018765 |
| Business Practice Address: | 6750 N Macarthur Blvd Ste 250 Irving, TX - 750392875 |
| Business Phone Number: | 9722534205 |
| Business Fax Number: | 9724010458 |
| Mailing Address: | 2021 N Macarthur Blvd, Ste 150 IRVING |
| State: | TX |
| Postal Code: | 750612219 |
| Phone Number: | 9722534205 |
| Fax Number: | 9724010458 |
| NPI Enumeration Date: | 06/01/2005 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 018765 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |