Organization
FORT WORTH DIAGNOSTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JAY GOLDMAN M.D. (PHYSICIAN)
(817) 338-1131
Entity
Organization
Contact information
Practice address
1650 W ROSEDALE ST STE 100, FORT WORTH, TX 76104-7400
(817) 338-1131
(817) 877-1511
Mailing address
1650 W ROSEDALE ST STE 100, FORT WORTH, TX 76104-7400
(817) 338-1131
(817) 877-1511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E8262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083588601
—
TX
Enumeration date
08/22/2007
Last updated
03/17/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us