Individual provider · Type 1 NPI

Ty Henry Goletz, MD

Specialist · San Antonio, TX

NPI number 1760476188 Active

Practice location

7940 Floyd Curl Dr, Suite 560
San Antonio, TX 78229-3905

Fax (210) 692-0090

Mailing address

PO Box 1038
San Antonio, TX 78294-1038

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG1409 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760476188

Ty Henry Goletz, MD's National Provider Identifier is 1760476188, issued on Aug 31, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 11, 2011.