Fertility Specialists of Texas, PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

J4157 Issued in TX

Legal business name

FERTILITY SPECIALISTS OF TEXAS, PLLC

Practice address

5757 Warren Pkwy
Suite 300
Frisco, TX 75034-4274

Phone

(214) 618-2044

Fax

(214) 618-2045

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

FERTILTIY SPECIALISTS OF DALLASAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerald Steven Goldstein, M.D.

Title

Physician

Phone

(214) 618-2044

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Dallas Ctr for Reproductive

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1083920920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY",
            "address_2": "SUITE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344274",
            "telephone_number": "214-618-2044",
            "fax_number": "214-618-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY",
            "address_2": "SUITE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344274",
            "telephone_number": "214-618-2044",
            "fax_number": "214-618-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY SPECIALISTS OF TEXAS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FERTILTIY SPECIALISTS OF DALLAS",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-618-2044",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "J4157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Frisco, TX
• Providers in Frisco, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.