Organization
KENNETH A GOLDBERG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONJIA ROAN (OFFICE MANAGER)
(972) 420-8500
Entity
Organization
Contact information
Practice address
541 W MAIN ST, SUITE150, LEWISVILLE, TX 75057-3628
(972) 420-8500
(972) 221-6302
Mailing address
541 W MAIN ST, SUITE150, LEWISVILLE, TX 75057-3628
(972) 420-8500
(972) 221-6302
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F4843
TX
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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