Individual
FRED H GOLDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8214 WURZBACH, SAN ANTONIO, TX 78229-3319
(210) 614-1234
(210) 614-7749
Mailing address
8415 DATAPOINT DR, SUITE 1000, SAN ANTONIO, TX 78229-3298
(210) 614-1234
(210) 614-7749
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G5912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100005732
MEDICARE RAILROAD
—
05
—
105860401
—
TX
01
—
88A654
BCBS
TX
Enumeration date
09/08/2005
Last updated
02/09/2012
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