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NPI Code Detail

MEDICARE: ROBERT JOSEPH GO M.D.

MEDICARE:   ROBERT JOSEPH GO  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
1207RN0300XNephrology PhysicianM6633TX

Other Identifiers

General Provider Information

NPI Number : 1386635720
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT JOSEPH GO M.D.
Provider Business Mailing Address
First Line : 5940 CROSSLAKE PKWY
Second Line :
City : WACO
State : TX
Zip : 76712-6986
Country : US
Telephone Number : 254-666-2999
Fax Number : 254-420-2014
Provider Business Practice Location Address
First Line : 2329 N 39TH ST
Second Line :
City : WACO
State : TX
Zip : 76708-3003
Country : US
Telephone Number : 254-752-5503
Fax Number : 254-752-4844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 11/27/2018

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Directions to “ ROBERT JOSEPH GO M.D.” Practice Location

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