MEDICARE: DR. RUDOLF GOOD M.D.

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	207RH0003X	Hematology & Oncology Physician	E2213	TX

General Provider Information

NPI Number	:	1194801274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUDOLF GOOD M.D.

Provider Business Mailing Address
First Line	:	916 WESTERN HILLS DR
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-5222
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 WESTERN HILLS DR
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-5222
Country	:	US
Telephone Number	:	903-893-6690
Fax Number	:

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	07/11/2007

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Directions to “ DR. RUDOLF GOOD M.D.” Practice Location

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