Provider Demographics
NPI:1184693475
Name:GOLDSMITH, GREGORY SINCLAIR SR (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:SINCLAIR
Last Name:GOLDSMITH
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 E SAVANNAH AVE
Mailing Address - Street 2:BLDG B, STE 101
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1241
Mailing Address - Country:US
Mailing Address - Phone:956-686-1575
Mailing Address - Fax:956-686-8542
Practice Address - Street 1:110 E SAVANNAH AVE
Practice Address - Street 2:BLDG B, STE 101
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1241
Practice Address - Country:US
Practice Address - Phone:956-686-1575
Practice Address - Fax:956-686-8542
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2012-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF9482207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127564606Medicaid
TX127564606Medicaid
TX8F9305Medicare PIN