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Organization
GOH MEDICAL
Active
Organization
GOH MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT E CONARD M.D. (PRESIDENT)
(817) 691-4970
Entity
Organization
Contact information
Practice address
12810 HILLCREST RD STE B209, DALLAS, TX 75230
(972) 292-7158
(877) 292-2247
Mailing address
12810 HILLCREST RD STE B209, DALLAS, TX 75230-1525
(972) 292-7158
(877) 292-2247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001XD
BCBSTX
TX
01
—
TXB143192
MEDICARE PTAN
—
Enumeration date
11/10/2011
Last updated
09/12/2018
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