Theodore Israel Gould, MD | |
18118 County Road 344, Flint, TX 75762 | |
(903) 596-3588 | |
(903) 594-2038 |
Full Name | Theodore Israel Gould |
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Gender | Male |
Speciality | Family Medicine |
Location | 18118 County Road 344, Flint, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649269051 | NPI | - | NPPES |
137223711 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G7469 (Texas) | Secondary |
207Q00000X | Family Medicine | G7469 (Texas) | Primary |
Entity Name | East Texas Medical Center Healthcare Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152 |
Mailing Address | Practice Location Address |
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Theodore Israel Gould, MD 901 Turtle Creek Dr, Tyler, TX 75701-1947 Ph: (903) 596-3588 | Theodore Israel Gould, MD 18118 County Road 344, Flint, TX 75762 Ph: (903) 596-3588 |
Dr. Lisa E. Allen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 20208 Hwy 155 S, Flint, TX 75762 Phone: 903-825-6222 Fax: 903-503-4490 | |
Brenda Amaya Karagozian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18118 Fm 344 W, Flint, TX 75762 Phone: 903-877-7200 Fax: 903-877-5080 | |
Alan M Eli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20208 State Highway 155 S, Flint, TX 75762 Phone: 903-825-6222 | |
Tyler Gerald Arendt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18118 Fm 344 W, Flint, TX 75762 Phone: 903-825-3292 Fax: 903-825-3151 | |
Dr. Roger Andrew Burshe, Family Medicine Medicare: Medicare Enrolled Practice Location: 17911 County Road 134, Flint, TX 75762 Phone: 903-839-1394 |