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GOOD FAITH MEDICAL PA NPI 1023318169


NPI Information

NPI: 1023318169
Provider Name: GOOD FAITH MEDICAL, PA

Doing Business As: DIRECT CARE OF TEXAS

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D1091936

Address:
302 W RHAPSODY DR
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 521-6328
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GOOD FAITH MEDICAL, PA is an internal medicine in San Antonio, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GOOD FAITH MEDICAL, PA NPI is 1023318169. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Direct Care Of Texas.

The provider's business location address is:

302 W RHAPSODY DR
SAN ANTONIO, TX
ZIP 78216-108
Phone: (210) 521-6328
Fax: (210) 521-6329

The provider's authorized official is Hector Edwin Tamayo .
The authorized official title is Medical Director and has the following contact phone number (210) 710-0786.

The CLIA number assigned to this NPI record is 45D1091936 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 3/22/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineK7915TEXASYes

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: 4/28/2024

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