Douglas Rudolph Goldstein, D.C.
Individual provider Active NPI Chiropractor · Humble, TX
NPI 1114136702 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114136702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5387 (TX)
- Practice address
- 7114 FM 1960 Rd E
Humble, TX 77346-2702 - Phone
- (281) 852-2424
- Fax
- (281) 852-1071
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5387 | TX | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davenport Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| North Lake Houston Chiropractic Center, Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5387 | TX | Yes |
Addresses
Primary practice location
7114 FM 1960 Rd E
Humble, TX 77346-2702
Mailing address
4138 Valley Haven Dr
Kingwood, TX 77339-1953
Phone (281) 359-8289
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.