Provider Demographics
NPI:1851325229
Name:GOLDSTEIN, ROBERT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 WORTH ST
Mailing Address - Street 2:SUITE 950
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2003
Mailing Address - Country:US
Mailing Address - Phone:214-820-2050
Mailing Address - Fax:214-818-6491
Practice Address - Street 1:3410 WORTH ST
Practice Address - Street 2:SUITE 950
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2003
Practice Address - Country:US
Practice Address - Phone:214-820-2050
Practice Address - Fax:214-818-6491
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4935208600000X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX041148003Medicaid
TX041148002Medicaid
TX8H3711OtherBCBS
TXP00028359Medicare PIN
TX8A3844Medicare PIN
TXP00028461Medicare PIN
TX366748YMNTMedicare PIN
TX366748YKY6Medicare PIN
TX041148002Medicaid
TX041148003Medicaid