Goaley, Thomas John
Goaley, Thomas John is an individual health care provider with primary practice located at 100 Hillcrest Medical Blvd Trauma Services, Hillcrest Baptist Medical Center, Waco TX 76712-8897. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Goaley, Thomas John can be contacted via phone (254) 202-5300.Contact Information
Primary practice address
100 Hillcrest Medical Blvd Trauma Services, Hillcrest Baptist Medical Center
Waco TX 76712-8897
Phone: (254) 202-5300
Fax: (254) 202-5349
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101055420 | Virginia |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 056062 | Georgia |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | N3048 | Texas |
Profile Details
NPI number | 1255320594 |
---|---|
LBN Legal business name | Goaley, Thomas John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2005 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255320594 | NPPES |
Georgia | Other | 056062 | MEDICAL LICENSE |
Georgia | Other | 0101055420 | MEDICAL LICENSE |
Georgia | Other | G0165380 | MEDICAL LICENSE |
Georgia | Other | 18256 | MEDICAL LICENSE |
Georgia | Other | TEMP 10APR2009 | MEDICAL LICENSE |
Georgia | Other | N3048 | MEDICAL LICENSE |
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