Goodman, Robert

Goodman, Robert is an individual health care provider with primary practice located at 3817 S Padre Island Dr , Corpus Christi TX 78415-2913. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Goodman, Robert can be contacted via phone (361) 857-0178.

Contact Information

Primary practice address
3817 S Padre Island Dr Corpus Christi TX 78415-2913
Phone: (361) 857-0178
Fax: (361) 855-4123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06113 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA06113 Texas

Profile Details

NPI number 1124316674
LBN Legal business name Goodman, Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Nov 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124316674 NPPES
Texas MEDICAID 286995001

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