| Goliad Family Practice | |
|
139 W Franklin St Goliad TX 77963-4281 | |
| (361) 645-8235 | |
| (361) 645-3282 |
| Full Name | Goliad Family Practice |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 08/18/2022 |
| Medicare PECOS PAC ID | 3072421395 |
|---|---|
| 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 |