GOODLIFE HEALTH CENTER – NPI #1639591480
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

GOODLIFE HEALTH CENTER is a provider located in BEAUMONT, TX. NPPES has assigned the NPI number 1639591480 to GOODLIFE HEALTH CENTER on January 14, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOODLIFE HEALTH CENTER” is a dba name, the actual legal business name for this organization is CHS TEXAS MEDICAL, P.A.. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOODLIFE HEALTH CENTER below.

NPI Profile for
CHS TEXAS MEDICAL, P.A.

NPI Number
1639591480
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHS TEXAS MEDICAL, P.A.
Doing Business As (dba): GOODLIFE HEALTH CENTER
Primary location
11357 HIGHWAY 10 SW
SMITH RD
BEAUMONT, TX 77705
Phone: (409) 794-5253 Fax:
Mailing address
5500 MARYLAND WAY STE 200
BRENTWOOD, TN 37027-4973
Phone: Fax:
Organization Subpart
Yes - GOODLIFE HEALTH CENTER is subpart of another organization.
Authorized Official
STUART CLARK
EXECUTIVE VP
Phone: (703) 760-0700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.