Clyde Leroy Goodman, MD - General Practice in Fort Worth, TX

Clyde Leroy Goodman, MD is a General Practice physician based in Fort Worth, Texas. Clyde Leroy Goodman is licensed to practice in Texas (license number D7984) and his current practice location is 4840 Bryant Irvin Ct., Suite 104, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at (817) 335-4549.

NPI number for Clyde Leroy Goodman is 1801823083 and his current mailing address is 4840 Bryant Irvin Ct., Suite 104, Fort Worth, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801823083.

Contact Information

Clyde Leroy Goodman, MD
4840 Bryant Irvin Ct., Suite 104,
Fort Worth, TX 76107-7680
(817) 335-4549
(817) 377-0970

Map and Direction




Physician's Profile

Full NameClyde Leroy Goodman
GenderMale
SpecialityGeneral Practice
Location4840 Bryant Irvin Ct., Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801823083
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 10/04/2012

Medical Identifiers

Medical identifiers for Clyde Leroy Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801823083NPI-NPPES
034680101MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice D7984 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clyde Leroy Goodman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clyde Leroy Goodman, MD
4840 Bryant Irvin Ct., Suite 104,
Fort Worth, TX 76107-7680

Ph: (817) 335-4549
Clyde Leroy Goodman, MD
4840 Bryant Irvin Ct., Suite 104,
Fort Worth, TX 76107-7680

Ph: (817) 335-4549

Reviews and Comments


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