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NPI Code Detail

MEDICARE: DR. ROLAND A GOERTZ MD

MEDICARE: DR. ROLAND A GOERTZ 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
1207Q00000XFamily Medicine PhysicianF9480TX

General Provider Information

NPI Number : 1225015092
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROLAND A GOERTZ MD
Provider Business Mailing Address
First Line : 1600 PROVIDENCE DR
Second Line :
City : WACO
State : TX
Zip : 76707-2261
Country : US
Telephone Number : 254-750-8200
Fax Number : 254-750-8326
Provider Business Practice Location Address
First Line : 1600 PROVIDENCE DR
Second Line :
City : WACO
State : TX
Zip : 76707-2261
Country : US
Telephone Number : 254-750-8200
Fax Number : 254-750-8326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROLAND A GOERTZ MD” Practice Location

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