Jeffrey B Goudreau in Dallas - Internal Medicine
Jeffrey B Goudreau - NPI 1932179314
Jeffrey B Goudreau is a Internal Medicine in Dallas, Texas. Jeffrey B Goudreau practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jeffrey B Goudreau is 1932179314. The last update date is 2011-01-05.
Jeffrey B Goudreau's current location address is 5461 La Sierra Dr, Dallas, Texas. You can contact this provider via phone number 2146928541 and fax number 2142421035. The mailing address for Jeffrey B Goudreau is 5461 La Sierra Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey B Goudreau |
|---|---|
| Address | 5461 La Sierra Dr, Dallas, Texas |
| Phone Number | 2146928541 |
| Fax Number | 2142421035 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932179314 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2011-01-05 |
Provider Mailing Address Detail
| Address | 5461 La Sierra Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752314107 |
| Phone Number | 2146928541 |
| Fax Number | 2142421035 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | H2411 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43249401 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeffrey B Goudreau by the Centers for Medicare & Medicaid Services?
The Jeffrey B Goudreau has been assigned the NPI (National Provider Identifier) 1932179314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jeffrey B Goudreau?
The Jeffrey B Goudreau is situated at 5461 La Sierra Dr, in the city of Dallas, state of TX, with the zip code 752314107.
What is the Jeffrey B Goudreau's area of specialization and corresponding taxonomy classification?
The Jeffrey B Goudreau's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jeffrey B Goudreau receive the assignment of its 1932179314 from the Centers for Medicare & Medicaid Services?
The Jeffrey B Goudreau was issued its 1932179314 by the Centers for Medicare & Medicaid Services on 2006-01-26.
As of what date were the details pertaining to Jeffrey B Goudreau last refreshed?
The information related to the Jeffrey B Goudreau, including its address, specialty, and other relevant details, was last updated on 2011-01-05.