MEDICARE: GOODSIDE HEALTH MEDICAL, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	291U00000X	Clinical Medical Laboratory
2	207Q00000X	Family Medicine Physician
3	261QM1300X	Multi-Specialty Clinic/Center
4	261Q00000X	Clinic/Center
5	363L00000X	Nurse Practitioner
6	363A00000X	Physician Assistant
7	207R00000X	Internal Medicine Physician
8	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1548999451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODSIDE HEALTH MEDICAL, PLLC

Provider Business Mailing Address
First Line	:	1701 RIVER RUN STE 302
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6547
Country	:	US
Telephone Number	:	281-203-5006
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 RIVER RUN STE 302
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6547
Country	:	US
Telephone Number	:	281-203-5006
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GERARDO REYES
Credential	:	MD
Telephone Number	:	630-487-1556

Provider Enumeration Date	:	06/07/2022
Last Update Date	:	09/23/2025

Similar Medicare Providers

1891215612 — DR. ELIZABETH ROSENBERG MD
Practice Location Address:

1701 RIVER RUN STE 302
FORT WORTH, TX
76107-6547

Practice Phone: 720-839-7123
Practice Fax:

1215771704 — AMBER WYNN
Practice Location Address:

1701 RIVER RUN STE 302
FORT WORTH, TX
76107-6547

Practice Phone: 512-884-5190
Practice Fax:

1154142305 — TEXAS PEDIATRICS PLLC
Practice Location Address:

1701 RIVER RUN STE 302
FORT WORTH, TX
76107-6547

Practice Phone: 281-203-5006
Practice Fax:

1528491560 — VICTORIANO BAYOBAY PARILLA RN, BSN, RNFA
Practice Location Address:

412 ROUNDROCK LN
FORT WORTH, TX
76140-6547

Practice Phone: 817-886-3466
Practice Fax:

1104285279 — VICTORY FIRST ASSISTANTS, LLC
Practice Location Address:

412 ROUNDROCK LN
FORT WORTH, TX
76140-6547

Practice Phone: 817-886-3466
Practice Fax:

1265959357 — FLORIDA MAT PHYSICIANS, LLC
Practice Location Address:

3113 STIRLING RD STE 103
FORT LAUDERDALE, FL
33312-6547

Practice Phone: 954-995-3805
Practice Fax:

Directions to “GOODSIDE HEALTH MEDICAL, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.