Provider Demographics
NPI:1952307241
Name:GOLDMAN, JOSHUA WILLIAMS (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:WILLIAMS
Last Name:GOLDMAN
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:PO BOX 5560
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201
Mailing Address - Country:US
Mailing Address - Phone:210-952-7801
Mailing Address - Fax:
Practice Address - Street 1:5805 CALLAGHAN RD
Practice Address - Street 2:STE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1127
Practice Address - Country:US
Practice Address - Phone:210-271-3800
Practice Address - Fax:210-271-9340
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK70232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175661101Medicaid
TX0026DJOtherBCBS TX
TX175661101Medicaid
TX8F0839Medicare PIN