Golden Crescent Medical Clinic in Victoria - Family Medicine
Golden Crescent Medical Clinic - NPI 1285610691
Golden Crescent Medical Clinic is a Family Medicine in Victoria, Texas. Golden Crescent Medical Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Golden Crescent Medical Clinic is 1285610691. The last update date is 2009-06-30.
Golden Crescent Medical Clinic's current location address is 3402 Cherry St, Victoria, Texas. You can contact this provider via phone number 3615796900. The mailing address for Golden Crescent Medical Clinic is 3402 Cherry St, Victoria, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Crescent Medical Clinic |
|---|---|
| Address | 3402 Cherry St, Victoria, Texas |
| Phone Number | 3615796900 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shenouda Rouchdy |
| Credentials | M.D. |
| Telephone Number | 3615763680 |
NPI Number Detail
| NPI Number | 1285610691 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2009-06-30 |
Provider Mailing Address Detail
| Address | 3402 Cherry St |
|---|---|
| City | Victoria |
| State | Texas (TX) |
| Post Code | 779010921 |
| Phone Number | 3615796900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | E9406 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 153561901 | TX | -- | |
| 00938T | TX | BCBS OF TX # |
Post Comment/ Review Below
What is the Golden Crescent Medical Clinic's 1285610691?
The Golden Crescent Medical Clinic's NPI (National Provider Identifier) Number is 1285610691. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Golden Crescent Medical Clinic is located?
The Golden Crescent Medical Clinic is situated at the following address: 3402 Cherry St, Victoria, TX, 779010921.
What is the Golden Crescent Medical Clinic's area of specialization and corresponding taxonomy classification?
The Golden Crescent Medical Clinic's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1285610691 to Golden Crescent Medical Clinic?
The Golden Crescent Medical Clinic received its 1285610691 assignment from the Centers for Medicare & Medicaid Services on 2005-12-16.
When was the information regarding Golden Crescent Medical Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Golden Crescent Medical Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-06-30.