Individual
MAY HA GOETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1521 COOPER ST, FORT WORTH, TX 76104-2711
(817) 336-5864
(817) 336-2159
Mailing address
601 OMEGA DR, SUITE 206, ARLINGTON, TX 76014-2075
(817) 465-5881
(817) 465-6336
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
835332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339207YQFJ
MEDICARE PTAN
TX
Enumeration date
11/06/2013
Last updated
08/26/2014
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