Basic Information
| Provider Information | |||||||||
| NPI: | 1699410779 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | GOEI | ||||||||
| FirstName: | CHRISTIAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 226 BROADBENT AVE | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782105208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1210882860 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3551 ROGER BROOKE DR | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782344504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109164141 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2022 | ||||||||
| LastUpdateDate: | 05/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | BP10080664 | TX | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.