Individual provider · Type 1 NPI

Bradley Tait Goettl, FNP

Family Nurse Practitioner · San Antonio, TX

NPI number 1740694454 Active

Practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Fax (210) 358-1972

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Specialties and licenses

TaxonomyCodeLicense
Paramedic 146L00000X709205 (TX)
Emergency Registered Nurse 163WE0003X766200 (TX)
Family Nurse Practitioner Primary 363LF0000XAP125858 (TX)
Family Nurse Practitioner 363LF0000X6653-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1740694454

Bradley Tait Goettl, FNP's National Provider Identifier is 1740694454, issued on Jun 20, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Antonio, TX. The record was last updated on Sep 27, 2016.