National Provider Identifier Database

GOODSIDE HEALTH MEDICAL PLLC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

GOODSIDE HEALTH MEDICAL, PLLC
9910 INDIAN SCHOOL RD NE STE 204
ALBUQUERQUE, NM87112-2971
Phone: 512-884-5190
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Clinic/Center 261Q00000X
Internal Medicine 207R00000X
Multi-Specialty 261QM1300X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for GOODSIDE HEALTH MEDICAL, PLLC

NPI Number 1033972716
Legal business name
LBN
GOODSIDE HEALTH MEDICAL, PLLC
Authorized official BRIAN WHITE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/05/2024
Last updated 06/13/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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