Craig R Gotcher


Address: 1420 N Lbj, San Marco, TX 78666-3022
Phone: 5126355034

Craig R Gotcher (NPI# 1720322910, PAC ID# 8426201328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.

Physician Overview

Nation Provider ID (NPI) 1720322910
PAC ID by PECOS 8426201328
Professional Enrollment ID I20121228000307
Full Name Craig R Gotcher
Address 1420 N Lbj
San Marco
TX 78666-3022
Phone Number 5126355034
Gender M
Graduation Year 2008
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1420 N Lbj, San Marco, TX 78666-3022 5126355034

Organization Information

Office Location

Street Address 1420 N LBJ
City SAN MARCO
State TX
Zip 78666-3022

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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