MEDICARE: JOEL H. GOFFMAN, M.D., P.A.

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	207W00000X	Ophthalmology Physician	D9146	TX

General Provider Information

NPI Number	:	1235443219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL H. GOFFMAN, M.D., P.A.

Provider Business Mailing Address
First Line	:	9090 GAYLORD DR STE 201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2948
Country	:	US
Telephone Number	:	713-467-0990
Fax Number	:	713-464-6989

Provider Business Practice Location Address
First Line	:	9090 GAYLORD DR STE 201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2948
Country	:	US
Telephone Number	:	713-467-0990
Fax Number	:	713-464-6989

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOEL H. GOFFMAN
Credential	:	M.D.
Telephone Number	:	713-467-0990

Provider Enumeration Date	:	08/02/2010
Last Update Date	:	08/02/2010

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