| Goodside Health Medical, Pllc | |
|
3300 Southgate Ct Sw Ste 183 Cedar Rapids IA 52404 | |
| (281) 203-5006 | |
| Not Available |
| Full Name | Goodside Health Medical, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 3300 Southgate Ct Sw, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Gerardo Reyes (OWNER) |
| Authorized Official Contact | 2812035006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodside Health Medical, Pllc 1701 River Run Ste 302 Fort Worth TX 76107-6547 Ph: (281) 203-5006 | Goodside Health Medical, Pllc 3300 Southgate Ct Sw Ste 183 Cedar Rapids IA 52404 Ph: (281) 203-5006 |
| NPI Number | 1790415909 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790415909 | NPI | - | NPPES |
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