| Samantha H. Goodman, Md, Pllc | |
|
3926 S Treadaway Blvd Ste B2 Abilene TX 79602-6939 | |
| (325) 794-5421 | |
| Not Available |
| Full Name | Samantha H. Goodman, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3926 S Treadaway Blvd Ste B2, Abilene, Texas |
| Authorized Official Name and Position | Samantha H Goodman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3257945421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha H. Goodman, Md, Pllc 5 Pinehurst St Abilene TX 79606-5124 Ph: (325) 201-5990 | Samantha H. Goodman, Md, Pllc 3926 S Treadaway Blvd Ste B2 Abilene TX 79602-6939 Ph: (325) 794-5421 |
| NPI Number | 1295334936 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Medicare PECOS PAC ID | 8921412370 |
|---|---|
| Medicare Enrollment ID | O20210127001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295334936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samantha H Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154558781 PECOS PAC ID: 8527214782 Enrollment ID: I20120803000779 |
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