Provider Demographics
NPI:1043695315
Name:GOEPFERT, HELMUTH (MD)
Entity Type:Individual
Prefix:
First Name:HELMUTH
Middle Name:
Last Name:GOEPFERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4919 EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5013
Mailing Address - Country:US
Mailing Address - Phone:832-487-9081
Mailing Address - Fax:
Practice Address - Street 1:4919 EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-5013
Practice Address - Country:US
Practice Address - Phone:832-487-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8879207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology