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Mr. Charles Michael Goedecke, LSA
Surgical Physician Assistant in Pearland, Texas
NPI 1306396759

Charles Michael Goedecke is a Surgical Physician Assistant based in San Antonio, TX and is specialized in Surgical. Charles Michael Goedecke practices in Pearland, TX and has the professional credentials of LSA. The NPI Number for Charles Michael Goedecke is 1306396759 and holds a License No. (Texas).

The current practice location address for Charles Michael Goedecke is 16100 Sh 288, Pearland, TX and can be reached out via phone at 210-445-9456.

Location: 16100 Sh 288, Pearland, TX, 78245-1456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306396759
Provider Name
Charles Michael Goedecke
Credential
LSA
Provider Entity Type
Individual
Gender
Male
Address
16100 Sh 288, Pearland, TX, 78245-1456
Phone Number
210-445-9456
Fax Number
Provider Enumeration Date
10/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16100 Sh 288
City
Pearland
State
Texas
Zip
77584
Phone Number
210-445-9456
Fax Number
person
Provider Business Mailing Address Details
Address
16100 Sh 288
City
Pearland
State
Texas
Zip
77584
Phone Number
210-445-9456
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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