Individual
DR. VIKAS GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1521 COOPER ST, FORT WORTH, TX 76104-2711
(817) 336-5864
(817) 336-2159
Mailing address
1521 COOPER ST, FORT WORTH, TX 76104-2711
(817) 336-5864
(817) 336-2159
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
Q6750
TX
207RP1001X
Pulmonary Disease Physician
Q6750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8JD73
BCBSTX
TX
05
—
PENDING
—
TX
01
—
Q6750
TEXAS LICENSE
TX
Enumeration date
06/10/2010
Last updated
05/16/2023
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