Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES MICHAEL GOEDECKE, LSA
Active Sole ProprietorMR. CHARLES MICHAEL GOEDECKE, LSA is a Surgical Physician Assistant healthcare provider located in PEARLAND, Texas. NPI 1306396759 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · PEARLAND, TX
Registration Details
- NPI Number
- 1306396759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2016 (9.837331035602 yrs)
- Last Updated
- Oct 8, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
16100 SH 288PEARLAND, TX, 77584Browse TX providers · Browse ZIP 77584
- Phone
- 2104459456
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in PEARLAND, TX
| Name | Credential | NPI |
|---|---|---|
| STEVEN WAYNE MEISELBACH | LSA, CSA | 1033259684 |
| JACI BOGGS MORRIS | L.S.A. | 1083825210 |
| MS. XUAN SUSIE FRIAS | LSA | 1275954729 |
| ZAHED I JAFRI | LSA, CSA,RSA | 1871917518 |
| KIMBERLY SIRMAN | PA-C | 1336546787 |
| MR. ERIC F WILLMORE JR. | SURGICAL ASSISTANT | 1376089854 |
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.