MEDICARE: DR. DANIEL ISSER GOLDMAN M.D.

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	207W00000X	Ophthalmology Physician	G0716	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1093100005	OTHER	TX	CIGNA GOVERNMENT SERVICES

General Provider Information

NPI Number	:	1255335055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ISSER GOLDMAN M.D.

Provider Business Mailing Address
First Line	:	555 E MEDICAL CENTER BLVD
Second Line	:	SUITE 101
City	:	WEBSTER
State	:	TX
Zip	:	77598-4367
Country	:	US
Telephone Number	:	281-488-7213
Fax Number	:	281-488-1387

Provider Business Practice Location Address
First Line	:	3333 BAYSHORE BLVD
Second Line	:	SUITE 280
City	:	PASADENA
State	:	TX
Zip	:	77504-1952
Country	:	US
Telephone Number	:	713-943-8671
Fax Number	:	713-943-1657

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	10/25/2022

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