Goldaber, Kenneth Gordon

Goldaber, Kenneth Gordon is an individual health care provider with primary practice located at 515 W Mayfield Rd Suite 304, Arlington TX 76014-2083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Goldaber, Kenneth Gordon can be contacted via phone (817) 467-1010.

Contact Information

Primary practice address
515 W Mayfield Rd Suite 304 Arlington TX 76014-2083
Phone: (817) 467-1010
Fax: (817) 419-2626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X H3815 Texas

Profile Details

NPI number 1477549749
LBN Legal business name Goldaber, Kenneth Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jan 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477549749 NPPES
Texas MEDICAID 161496801
Texas Other 27KH

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