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Individual
DR. GREGG R. GOEBEL
Active
Individual
DR. GREGG R. GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080161826
RR/MEDICARE
TX
01
—
1242786-02
CSHCN
TX
05
—
1242786-04
—
TX
01
—
807697
BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
08/12/2013
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