DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH A. GOEDECKE, PA-C

Active

ELIZABETH A. GOEDECKE, PA-C is a Physician Assistant healthcare provider located in LACKLAND A F B, Texas. NPI 1265589436 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LACKLAND A F B, TX

Registration Details

NPI Number
1265589436
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2007 (19.602275669848 yrs)
Last Updated
Jul 8, 2007
License
PA05062 (TX)

Practice Information

Address
2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX, 782369907
Browse TX providers · Browse ZIP 78236
Phone
2102923871
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LACKLAND A F B, TX

Name Credential NPI
JASON RAY ROGERS PA-C 1366549222
MS. CAROL FORREST PHYSICIAN ASSISTANT 1356480248
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.