Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | H4935 | TX |
N | 208200000X | Surgeon | H4935 | TX |
N | 208600000X | Surgeon | H4935 | TX |
NPI | 1851325229 |
---|---|
Provider Name | Dr. Robert M. Goldstein |
First Address | Dallas, TX 75246-2003 |
Second Address | Dallas, TX 75246-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 20/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041148002 | (05) | TX |
041148003 | (05) | TX |
8H3711 | BCBS (01) | TX |
E04478 | (02) | TX |