MEDICARE: SARA GOEKE

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
1	225100000X	Physical Therapist	1131647	TX

General Provider Information

NPI Number	:	1528241650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA GOEKE

Provider Business Mailing Address
First Line	:	8111 CYPRESSWOOD DR STE 102
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7180
Country	:	US
Telephone Number	:	281-373-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8111 CYPRESSWOOD DR STE 102
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7180
Country	:	US
Telephone Number	:	281-373-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	12/12/2007

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Directions to “ SARA GOEKE ” Practice Location

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