MEDICARE: DR. MICHAEL H GOLF D.P.M.

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	213ES0131X	Foot Surgery Podiatrist	0582	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588673420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL H GOLF D.P.M.

Provider Business Mailing Address
First Line	:	4310 JAMES CASEY ST STE 3A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1120
Country	:	US
Telephone Number	:	512-448-3668
Fax Number	:	512-448-4460

Provider Business Practice Location Address
First Line	:	4310 JAMES CASEY ST
Second Line	:	SUITE 3A
City	:	AUSTIN
State	:	TX
Zip	:	78745-1251
Country	:	US
Telephone Number	:	512-448-3668
Fax Number	:	512-448-4460

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	05/25/2011

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