Organization
FERTILITY SPECIALISTS OF DALLAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD STEVEN GOLDSTEIN MD (PRESIDENT)
(214) 750-5500
Entity
Organization
Contact information
Practice address
8315 WALNUT HILL LN, STE. 225, DALLAS, TX 75231-4218
(214) 750-5500
(214) 750-5540
Mailing address
8315 WALNUT HILL LN, STE. 225, DALLAS, TX 75231-4218
(214) 750-5500
(214) 750-5540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J4157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063MQ
BLUE CROSS GROUP
TX
Enumeration date
08/21/2006
Last updated
08/22/2020
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