Individual
JACOBO GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 BEECHNUT ST, SUITE 352, HOUSTON, TX 77074-4335
(713) 988-4334
(713) 988-6165
Mailing address
7500 BEECHNUT ST, SUITE 352, HOUSTON, TX 77074-4335
(713) 988-4334
(713) 988-6165
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
B7410
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F4960
BCBS
TX
Enumeration date
10/23/2006
Last updated
07/08/2007
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