MEDICARE: FRANK J GODINO DPM

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	213E00000X	Podiatrist	1789	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1659317519	OTHER	TX	NATIONAL PROVIDER IDENTIFIER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659317519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK J GODINO DPM

Provider Business Mailing Address
First Line	:	16218 LA CABANA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-5017
Country	:	US
Telephone Number	:	281-753-5790
Fax Number	:

Provider Business Practice Location Address
First Line	:	16218 LA CABANA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-5017
Country	:	US
Telephone Number	:	281-753-5790
Fax Number	:

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	06/16/2008

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Directions to “ FRANK J GODINO DPM” Practice Location

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