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NPI Code Detail

MEDICARE: DR. BARRY HOWARD GOODFRIEND MD

MEDICARE: DR. BARRY HOWARD GOODFRIEND MD
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
1207R00000XInternal Medicine PhysicianC7614TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588666218
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY HOWARD GOODFRIEND MD
Provider Business Mailing Address
First Line : 5203 CONTOUR PL
Second Line :
City : HOUSTON
State : TX
Zip : 77096-4117
Country : US
Telephone Number : 713-723-4311
Fax Number : 713-723-4325
Provider Business Practice Location Address
First Line : 1502 TAUB LOOP
Second Line : BEN TAUB GENERAL HOSPITAL
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-3560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/11/2007

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