Individual
MR. PHILLIP MARK GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
11100 BRAESRIDGE DR APT 622, HOUSTON, TX 77071-2129
(832) 782-2656
Mailing address
11100 BRAESRIDGE DR APT 622, HOUSTON, TX 77071-2129
(832) 782-2656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
06/16/2018
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