| Goldstar Healthcare Llc | |
|
4500 Carter Creek Pkwy Bryan TX 77802-4494 | |
| (979) 307-7316 | |
| (855) 201-8501 |
| Full Name | Goldstar Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4500 Carter Creek Pkwy, Bryan, Texas |
| Authorized Official Name and Position | Bessem Oben (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9796909112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldstar Healthcare Llc 4500 Carter Creek Pkwy Bryan TX 77802-4494 Ph: (979) 307-7316 | Goldstar Healthcare Llc 4500 Carter Creek Pkwy Bryan TX 77802-4494 Ph: (979) 307-7316 |
| NPI Number | 1699427914 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Medicare PECOS PAC ID | 1355734674 |
|---|---|
| Medicare Enrollment ID | O20220209002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699427914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Khurram Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336521897 PECOS PAC ID: 7416292214 Enrollment ID: I20181226000996 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20210913001306 |
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