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Individual

DR. PAUL JAY GOLDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1650 W ROSEDALE ST STE 100, FORT WORTH, TX 76104-7400
(817) 338-1131
(817) 877-1511
Mailing address
1650 W ROSEDALE ST STE 100, FORT WORTH, TX 76104-7400
(817) 338-1131
(817) 877-1511

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
E8262
TX
207P00000X
Emergency Medicine Physician
Primary
E8262
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083588601
TX
Enumeration date
03/29/2007
Last updated
01/07/2019
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