Provider Demographics
NPI:1588845705
Name:GOLDSTEIN, BRIAN SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SETH
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2211
Mailing Address - Country:US
Mailing Address - Phone:512-320-8388
Mailing Address - Fax:512-320-8398
Practice Address - Street 1:1110 E 32ND ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2211
Practice Address - Country:US
Practice Address - Phone:512-320-8388
Practice Address - Fax:512-320-8398
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN92132080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology