| Joshua William Goldman, Md, Pa | |
|
1303 Mccullough Ave Ste 532 San Antonio TX 78212-5609 | |
| (210) 271-3800 | |
| (210) 271-9340 |
| Full Name | Joshua William Goldman, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1303 Mccullough Ave, San Antonio, Texas |
| Authorized Official Name and Position | Joshua Williams Goldman (PRESIDENT) |
| Authorized Official Contact | 2102713800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua William Goldman, Md, Pa 1303 Mccullough Ave Ste 532 San Antonio TX 78212-5609 Ph: (210) 271-3800 | Joshua William Goldman, Md, Pa 1303 Mccullough Ave Ste 532 San Antonio TX 78212-5609 Ph: (210) 271-3800 |
| NPI Number | 1588851141 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 03/18/2010 |
| Medicare PECOS PAC ID | 7517998412 |
|---|---|
| Medicare Enrollment ID | O20050830000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588851141 | NPI | - | NPPES |
| 0026DJ | Other | TX | BCBS |
| 175661101 | Medicaid | TX | |
| DN1161 | Other | TX | MEDICARE RR PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Joshua W Goldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952307241 PECOS PAC ID: 1658317052 Enrollment ID: I20050707000741 |
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