MEDICARE: SARA B GOLDSTEIN DO

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	208000000X	Pediatrics Physician	N8788	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

General Provider Information

NPI Number	:	1326338294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA B GOLDSTEIN DO

Provider Business Mailing Address
First Line	:	5819 HIGHWAY 6 STE 330
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4070
Country	:	US
Telephone Number	:	281-499-6300
Fax Number	:	281-499-7180

Provider Business Practice Location Address
First Line	:	5819 HIGHWAY 6 STE 330
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4070
Country	:	US
Telephone Number	:	281-499-6300
Fax Number	:	281-499-7180

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

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	07/21/2020

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Directions to “ SARA B GOLDSTEIN DO” Practice Location

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