MEDICARE: JOSHUA WILLIAMS GOLDMAN 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
1	2084N0400X	Neurology Physician	K7023	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
2	0026DJ	OTHER	TX	BCBS TX

General Provider Information

NPI Number	:	1952307241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA WILLIAMS GOLDMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5560
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201
Country	:	US
Telephone Number	:	210-952-7801
Fax Number	:

Provider Business Practice Location Address
First Line	:	5805 CALLAGHAN RD
Second Line	:	STE 104
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1127
Country	:	US
Telephone Number	:	210-271-3800
Fax Number	:	210-271-9340

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	12/11/2017

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