| John Gouldy, Md, Pa | |
|
3505 Boca Chica Blvd 110 Brownsville TX 78521-4214 | |
| (956) 234-3825 | |
| Not Available |
| Full Name | John Gouldy, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3505 Boca Chica Blvd, Brownsville, Texas |
| Authorized Official Name and Position | John Price Gouldy (OWNER) |
| Authorized Official Contact | 9562343825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Gouldy, Md, Pa 3505 Boca Chica Blvd 110 Brownsville TX 78521-4214 Ph: (956) 234-3825 | John Gouldy, Md, Pa 3505 Boca Chica Blvd 110 Brownsville TX 78521-4214 Ph: (956) 234-3825 |
| NPI Number | 1073867651 |
|---|---|
| Provider Enumeration Date | 11/03/2012 |
| Last Update Date | 11/03/2012 |
| Medicare PECOS PAC ID | 9638315641 |
|---|---|
| Medicare Enrollment ID | O20130418000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073867651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N0058 (Texas) | Primary |
| Provider Name | John Price Gouldy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083894117 PECOS PAC ID: 6709801004 Enrollment ID: I20110713000188 |
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