CHARLES MICHAEL GOEDECKE

PEARLAND, TX
NPI1306396759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2016-10-10
Last Update Date2021-10-08
Business Address
Mr. CHARLES MICHAEL GOEDECKE LSA
16100 SH 288
PEARLAND, TX 77584
Phone number: 210-445-9456
Mailing Address
Mr. CHARLES MICHAEL GOEDECKE LSA
1103 HAYLOFT LN
SAN ANTONIO, TX 78245-1456
Phone number: 210-445-9456
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