| G. Suzanne Goodchild D.o., P.a. | |
|
2200 James Rd Granbury TX 76049-8207 | |
| (817) 326-2727 | |
| (817) 326-5737 |
| Full Name | G. Suzanne Goodchild D.o., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 James Rd, Granbury, Texas |
| Authorized Official Name and Position | Ginger Suzanne Goodchild (OWNER) |
| Authorized Official Contact | 8173262727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Suzanne Goodchild D.o., P.a. 2200 James Rd Granbury TX 76049-8207 Ph: (817) 326-2727 | G. Suzanne Goodchild D.o., P.a. 2200 James Rd Granbury TX 76049-8207 Ph: (817) 326-2727 |
| NPI Number | 1912188749 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Medicare PECOS PAC ID | 5092973768 |
|---|---|
| Medicare Enrollment ID | O20120227000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912188749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L1867 (Texas) | Primary |
| Provider Name | Ginger Suzanne Goodchild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306894894 PECOS PAC ID: 6901064674 Enrollment ID: I20120227000539 |
| Provider Name | Lyndi M Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548870959 PECOS PAC ID: 9335559574 Enrollment ID: I20201029001800 |
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