Individual
DR. STANTON CARL GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, SUITE D 400, DALLAS, TX 75230-2505
(972) 566-6647
(972) 566-6496
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
K4438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09835831
—
NM
05
—
100015530A
—
OK
05
—
101757601
—
TX
05
—
101757603
—
TX
01
—
101757604
CSHCN
TX
05
—
101757605
—
TX
01
—
8R1446
BLUE CROSS OF TEXAS
TX
Enumeration date
06/13/2006
Last updated
12/18/2008
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