Organization
WHITE ROCK ORTHOPEDIC ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC S. GOLDMAN M.D. (PRESIDENT)
(214) 660-0505
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046MS
BCBS
TX
01
—
5492190001
DME/PALMETTO
TX
01
—
DD5388
RAILROAD MEDICARE
TX
Enumeration date
04/06/2006
Last updated
02/13/2008
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