Goodgame, Boone W
Goodgame, Boone W is an individual health care provider with primary practice located at 1180 Seton Pkwy Suite 150, Kyle TX 78640-6178. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Goodgame, Boone W can be contacted via phone (512) 504-0865.Contact Information
Primary practice address
1180 Seton Pkwy Suite 150
Kyle TX 78640-6178
Phone: (512) 504-0865
Fax: (512) 504-0863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 2004016554 | Missouri |
Profile Details
| NPI number | 1649487570 |
|---|---|
| LBN Legal business name | Goodgame, Boone W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Oct 9th, 2015 - about 9 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 | 1649487570 | NPPES |
| Texas | MEDICAID | 215859403 | |
| Texas | MEDICAID | 215859404 |
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