GOLDEN CRESCENT MEDICAL CLINIC
NPI 1285610691
Family Medicine in Victoria, TX

Active since December 16, 2005
3402 CHERRY ST, VICTORIA, TX 77901(361) 579-6900 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golden Crescent Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN CRESCENT MEDICAL CLINIC (NPI 1285610691) is a healthcare organization registered as a family medicine in Victoria, Texas and active in the NPI registry since December 2005. The organization lists Rouchdy Shenouda, Owner, as its authorized official.

NPPES Registry Identity

NPI1285610691
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGOLDEN CRESCENT MEDICAL CLINIC
Location Address3402 CHERRY STVictoria, TX 77901-0921
Mailing Address3402 Cherry StVictoria, TX 77901-0921 · (361) 579-6900
Organization SubpartNo
Authorized OfficialRouchdy ShenoudaOwner · (361) 576-3680
Enumeration DateDecember 16, 2005
Last NPPES UpdateJune 30, 2009
NPI 1285610691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · E9406
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3402 CHERRY ST, Victoria, TX 77901

Other Identifiers 3

Medicaid153561901TX
Other00938TTX · Bcbs Of Tx #
Medicare ID-Type Unspecified00938TTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden Crescent Medical Clinic's NPI number?

The NPI number for Golden Crescent Medical Clinic is 1285610691. It was assigned to this organization in the NPPES registry on December 16, 2005.

Where is Golden Crescent Medical Clinic located?

Golden Crescent Medical Clinic is located at 3402 Cherry St, Victoria, TX 77901. The listed phone number is (361) 579-6900.

What is Golden Crescent Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Golden Crescent Medical Clinic was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.