Individual
DR. MARC STEPHEN GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10611 GARLAND RD, SUITE 110, DALLAS, TX 75218-2666
(214) 660-0505
(214) 660-4484
Mailing address
10611 GARLAND RD, SUITE 110, DALLAS, TX 75218-2666
(214) 660-0505
(214) 660-4484
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K1451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045818402
—
TX
01
—
8S4860
BCBS
TX
01
—
P00234193
RAIL ROAD MEDICARE
TX
Enumeration date
04/10/2006
Last updated
02/09/2022
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