Goliad Family Practice | |
139 W Franklin St Goliad TX 77963-4281 | |
(361) 645-8235 | |
(361) 645-3282 |
Full Name | Goliad Family Practice |
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Speciality | Clinic/Center |
Location | 139 W Franklin St, Goliad, Texas |
Authorized Official Name and Position | Alma Alexander (CFO) |
Authorized Official Contact | 3612756191 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Goliad Family Practice 139 W Franklin St Goliad TX 77963-4281 Ph: (361) 645-8235 | Goliad Family Practice 139 W Franklin St Goliad TX 77963-4281 Ph: (361) 645-8235 |
NPI Number | 1831567122 |
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Provider Enumeration Date | 09/03/2015 |
Last Update Date | 08/18/2022 |
Medicare PECOS PAC ID | 3072421395 |
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Medicare Enrollment ID | O20151217002293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831567122 | NPI | - | NPPES |
357774401 | Medicaid | TX | |
363141801 | Other | TX | MEDICAID RHC |
363141802 | Other | TX | THSTEPS RHC MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sahara Medical Consulting, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 242 S. Commercial Street, Goliad, TX 77963 Phone: 361-882-3198 Fax: 512-852-4625 | |
Goliad Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 W Franklin St, Goliad, TX 77963 Phone: 361-645-8235 Fax: 361-645-3282 |