Provider Demographics
NPI:1609379510
Name:GOERTZEN, STEPHEN MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:GOERTZEN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:MCHE-ZDM-P/PULMONARY CRITICAL CARE
Mailing Address - City:JBSA FT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-916-2153
Mailing Address - Fax:210-916-2729
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:INTERVENTIONAL PULMONOLOGY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:877-632-6789
Practice Address - Fax:801-810-1381
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2024-06-07
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Provider Licenses
StateLicense IDTaxonomies
TXS3386207R00000X, 207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease