GOH MEDICAL NPI 1619254273

NPI Information

NPI: 1619254273
Provider Name: GOH MEDICAL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2067375

Address:
12810 HILLCREST RD STE B209
DALLAS, TX
ZIP 75230
Phone: (972) 292-7158
Get Directions

GOH MEDICAL is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GOH MEDICAL NPI is 1619254273. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12810 HILLCREST RD STE B209
DALLAS, TX
ZIP 75230
Phone: (972) 292-7158
Fax: (877) 292-2247

The provider's authorized official is Scott E Conard .
The authorized official title is President and has the following contact phone number (817) 691-4970.

The CLIA number assigned to this NPI record is 45D2067375 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 9/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001XD	OTHER	TEXAS	BCBSTX
2	TXB143192	OTHER		MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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