Individual
DR. TY HENRY GOLETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7940 FLOYD CURL DR, SUITE 560, SAN ANTONIO, TX 78229-3905
(210) 692-7400
(210) 692-0090
Mailing address
PO BOX 1038, SAN ANTONIO, TX 78294-1038
(210) 692-7400
(210) 692-0090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G1409
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047686301
—
TX
01
—
1780897306
GROUP NPI
TX
Enumeration date
08/31/2005
Last updated
07/11/2011
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