| Mark P. Goldman, P.c. | |
|
222 Sidney Baker S Suite 500 Kerrville TX 78028-5994 | |
| (830) 895-1840 | |
| (830) 896-9340 |
| Full Name | Mark P. Goldman, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 222 Sidney Baker S, Kerrville, Texas |
| Authorized Official Name and Position | Mark Paul Goldman (PSYCHOLOGIST) |
| Authorized Official Contact | 8308951840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P. Goldman, P.c. Po Box 291993 Kerrville TX 78029-1993 Ph: (830) 895-1840 | Mark P. Goldman, P.c. 222 Sidney Baker S Suite 500 Kerrville TX 78028-5994 Ph: (830) 895-1840 |
| NPI Number | 1497067169 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 07/12/2010 |
| Medicare PECOS PAC ID | 6800080946 |
|---|---|
| Medicare Enrollment ID | O20101102000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497067169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 22476 (Texas) | Primary |
| Provider Name | Mark Paul Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740399328 PECOS PAC ID: 4082603675 Enrollment ID: I20040510000241 |
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