Ty Henry Goletz is a Specialist in San Antonio, Texas. Ty Henry Goletz practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ty Henry Goletz is 1760476188. The last update date is 2011-07-11.
Ty Henry Goletz's current location address is Po Box 1038, San Antonio, Texas. You can contact this provider via phone number 2106927400 and fax number 2106920090. The mailing address for Ty Henry Goletz is Po Box 1038, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty Henry Goletz |
|---|---|
| Address | Po Box 1038, San Antonio, Texas |
| Phone Number | 2106927400 |
| Fax Number | 2106920090 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760476188 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2011-07-11 |
Provider Mailing Address Detail
| Address | Po Box 1038 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782941038 |
| Phone Number | 2106927400 |
| Fax Number | 2106920090 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G1409 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1780897306 | TX | GROUP NPI | |
| 47686301 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ty Henry Goletz by the Centers for Medicare & Medicaid Services?
The Ty Henry Goletz has been assigned the NPI (National Provider Identifier) 1760476188. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ty Henry Goletz is physically located?
The Ty Henry Goletz is physically situated at the following address: Po Box 1038, San Antonio, TX, 782941038.
What is Ty Henry Goletz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ty Henry Goletz's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Ty Henry Goletz receive its 1760476188 assignment from the Centers for Medicare & Medicaid Services?
The Ty Henry Goletz was assigned its 1760476188 by the Centers for Medicare & Medicaid Services on 2005-08-31.
When was the information pertaining to Ty Henry Goletz most recently updated or revised?
The details related to Ty Henry Goletz, including its address, specialty, and other relevant information, were last updated or revised on 2011-07-11.