Kristi K Goodson, MD | |
4100 W University Dr, Prosper, TX 75078-3123 | |
(945) 204-4100 | |
(682) 885-1903 |
Full Name | Kristi K Goodson |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 4100 W University Dr, Prosper, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982081196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | U6491 (Texas) | Primary |
208000000X | Pediatrics | E11591 (Arkansas) | Secondary |
208000000X | Pediatrics | U6491 (Texas) | Secondary |
Entity Name | St Bernards Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396053096 PECOS PAC ID: 0941105480 Enrollment ID: O20101123000105 |
Mailing Address | Practice Location Address |
---|---|
Kristi K Goodson, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Kristi K Goodson, MD 4100 W University Dr, Prosper, TX 75078-3123 Ph: (945) 204-4100 |
Dai Nguyen, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Dr. Yetunde Olabosipo Kare-opaneye, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Nicole Kristen Nieman, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Dr. Yolande Mfondoum Pengetnze, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 |