MEDICARE: JOSEPH S GOETZ 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
1	207W00000X	Ophthalmology Physician	H7421	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00098108	OTHER	TX	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1972518355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH S GOETZ MD

Provider Business Mailing Address
First Line	:	PO BOX 128
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77402-0128
Country	:	US
Telephone Number	:	713-665-9800
Fax Number	:	713-665-9809

Provider Business Practice Location Address
First Line	:	4660 BEECHNUT ST STE 214
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1805
Country	:	US
Telephone Number	:	713-665-9800
Fax Number	:	713-665-9809

Authorized Official
Title or Position	:	M.D.
Name	:	DR. JOSEPH S. GOETZ
Credential	:	M.D.
Telephone Number	:	713-665-9800

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	04/01/2022

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