GOLDEN CRESCENT MEDICAL CLINIC – Family Medicine Physician, NPI 1285610691

GOLDEN CRESCENT MEDICAL CLINIC is a healthcare provider. based in Victoria, Texas. specializing in Family Medicine Physician. The organization holds a License No. E9406 (TX). The NPI Number for GOLDEN CRESCENT MEDICAL CLINIC is 1285610691

Main info

Organization
Name
GOLDEN CRESCENT MEDICAL CLINIC
NPI
1285610691
Phone
(361) 579-6900
Address
3402 CHERRY ST
Authorized Official
ROUCHDY SHENOUDA OWNER M.D.
Enumeration Date
16 December 2005
Last Update Date
30 June 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GOLDEN CRESCENT MEDICAL CLINIC

  • 3402, Cherry Street, Victoria, Victoria County, Texas, 77901, United States

    VICTORIA, TX 779010921

    Phone: (361) 579-6900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77901)

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Reviews

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Frequently asked questions

Can I use this page to confirm GOLDEN CRESCENT MEDICAL CLINIC's NPI?
Yes. GOLDEN CRESCENT MEDICAL CLINIC is listed with NPI 1285610691 in the public NPI dataset.
Does the file indicate GOLDEN CRESCENT MEDICAL CLINIC is practicing under active NPI?
Directory data currently reports GOLDEN CRESCENT MEDICAL CLINIC as active.
What taxonomy line describes GOLDEN CRESCENT MEDICAL CLINIC?
For research purposes, treat GOLDEN CRESCENT MEDICAL CLINIC as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for GOLDEN CRESCENT MEDICAL CLINIC?
GOLDEN CRESCENT MEDICAL CLINIC's geographic hint is Victoria, Texas in our summary view.
Is the information about GOLDEN CRESCENT MEDICAL CLINIC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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