Individual
DR. RANDY J. GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N OREGON ST, LAS PALMAS EMERGENCY DEPARTMENT, EL PASO, TX 79902-3524
(915) 521-1529
(915) 521-1472
Mailing address
510 CAMINO REAL AVE, EL PASO, TX 79922-2006
(915) 521-1529
(915) 521-1472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L0211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156505301
—
TX
05
—
156505303
—
TX
01
—
8C0849
BCBS
TX
05
—
93309023
—
NM
01
—
L0211
STATE LICENSE
TX
01
—
P00323520
RAILROAD
TX
Enumeration date
10/21/2005
Last updated
12/05/2007
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