Provider Demographics
NPI:1326338294
Name:GOLDSTEIN, SARA B (DO)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:B
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5819 HIGHWAY 6 STE 330
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4070
Mailing Address - Country:US
Mailing Address - Phone:281-499-6300
Mailing Address - Fax:281-499-7180
Practice Address - Street 1:5819 HIGHWAY 6 STE 330
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4070
Practice Address - Country:US
Practice Address - Phone:281-499-6300
Practice Address - Fax:281-499-7180
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN8788208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282287601Medicaid