Provider Demographics
NPI:1255335055
Name:GOLDMAN, DANIEL ISSER (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ISSER
Last Name:GOLDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:555 E MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4367
Mailing Address - Country:US
Mailing Address - Phone:281-488-7213
Mailing Address - Fax:281-488-1387
Practice Address - Street 1:3333 BAYSHORE BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1952
Practice Address - Country:US
Practice Address - Phone:713-943-8671
Practice Address - Fax:713-943-1657
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2022-10-25
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Provider Licenses
StateLicense IDTaxonomies
TXG0716207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135613106Medicaid
TX1093100005OtherCIGNA GOVERNMENT SERVICES
TX180023987Medicare PIN
TX135613106Medicaid
TX89X373Medicare PIN