Provider Demographics
NPI:1225265168
Name:GOLDFARB, DAVID WOLFF (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WOLFF
Last Name:GOLDFARB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4306 FIRESTONE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-3612
Mailing Address - Country:US
Mailing Address - Phone:713-256-9400
Mailing Address - Fax:
Practice Address - Street 1:6560 FANNIN ST STE 1440
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2713
Practice Address - Country:US
Practice Address - Phone:713-790-9700
Practice Address - Fax:713-790-1328
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4958208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology