MEDICARE: DR. DAVID WOLFF GOLDFARB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	P4958	TX

General Provider Information

NPI Number	:	1225265168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID WOLFF GOLDFARB MD

Provider Business Mailing Address
First Line	:	4306 FIRESTONE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-3612
Country	:	US
Telephone Number	:	713-256-9400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1440
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2713
Country	:	US
Telephone Number	:	713-790-9700
Fax Number	:	713-790-1328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	06/04/2019

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