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Bradley Tait Goettl, FNP
Family Nurse Practitioner in San Antonio, Texas
NPI 1740694454

Bradley Tait Goettl is a Family Nurse Practitioner based in San Antonio, TX and is specialized in Family. Bradley Tait Goettl practices in San Antonio, TX and has the professional credentials of FNP. The NPI Number for Bradley Tait Goettl is 1740694454 and holds a License No. 709205 (Texas).

The current practice location address for Bradley Tait Goettl is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 210-358-2078 and via fax at 210-358-1972.

Location: 4502 Medical Dr, San Antonio, TX, 78229-3901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740694454
Provider Name
Bradley Tait Goettl
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
4502 Medical Dr, San Antonio, TX, 78229-3901
Phone Number
210-358-2078
Fax Number
210-358-1972
Provider Enumeration Date
06/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
339105407 05 TX
339105408 01 TX CSHCN
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
San Antonio
State
Texas
Zip
78229-4402
Phone Number
210-358-2078
Fax Number
210-358-1972
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
San Antonio
State
Texas
Zip
78229-4402
Phone Number
210-358-2078
Fax Number
210-358-1972
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Paramedic
Speciality
-
Taxonomy
146L00000X
License No.
AP125858 (Texas)
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
766200 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
709205 (Texas)
Definition
Definition to come...
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