Individual
FREDERICK N GOERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
1406 GORHAM ST, AUSTIN, TX 78758-3726
(512) 569-1758
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3236
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
M3236
TX
Other
Enumeration date
05/25/2006
Last updated
05/20/2010
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