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NPI Code Detail

MEDICARE: DR. DAVID Y GO MD

MEDICARE: DR. DAVID Y GO MD
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
1207Q00000XFamily Medicine PhysicianP8477TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1330664YSGUOTHERTXMEDICARE PTAN

General Provider Information

NPI Number : 1962479212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID Y GO MD
Provider Business Mailing Address
First Line : 2401 WALKER PLACE BLVD
Second Line :
City : COPPERAS COVE
State : TX
Zip : 76522-4025
Country : US
Telephone Number : 254-547-5516
Fax Number : 254-542-0039
Provider Business Practice Location Address
First Line : 2401 WALKER PLACE BLVD
Second Line :
City : COPPERAS COVE
State : TX
Zip : 76522-4025
Country : US
Telephone Number : 254-547-5516
Fax Number : 254-542-0039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 02/22/2024

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Directions to “ DR. DAVID Y GO MD” Practice Location

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