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NPI Code Detail

MEDICARE: ANDREW GOETZ

MEDICARE: ANDREW GOETZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0705XMedical-Surgical Registered Nurse1189194TX

General Provider Information

NPI Number : 1194641712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW GOETZ
Provider Business Mailing Address
First Line : 300 UNIVERSITY BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1032
Country : US
Telephone Number : 512-509-0100
Fax Number :
Provider Business Practice Location Address
First Line : 300 UNIVERSITY BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1032
Country : US
Telephone Number : 512-509-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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Directions to “ ANDREW GOETZ ” Practice Location

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