Provider Demographics
NPI:1114553849
Name:GOFIN, YOEL (MD)
Entity Type:Individual
Prefix:
First Name:YOEL
Middle Name:
Last Name:GOFIN
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 1:6701 FANNIN STREET
Mailing Address - Street 2:SUITE 1560
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:832-822-4292
Mailing Address - Fax:832-825-4294
Practice Address - Street 1:6701 FANNIN STREET
Practice Address - Street 2:SUITE 1560
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-822-4292
Practice Address - Fax:832-825-4294
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-12-18
Deactivation Date:2020-12-08
Deactivation Code:
Reactivation Date:2020-12-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program