Stacy Goodin, Fnp | |
5012 S Us Highway 75 Denison TX 75020-4587 | |
(903) 465-5012 | |
(866) 307-7513 |
Full Name | Stacy Goodin, Fnp |
---|---|
Speciality | Clinic/center |
Location | 5012 S Us Highway 75, Denison, Texas |
Authorized Official Name and Position | Stacy Goodin (FNP) |
Authorized Official Contact | 9034655012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stacy Goodin, Fnp 5012 S Us Highway 75 Denison TX 75020-4587 Ph: (903) 465-5012 | Stacy Goodin, Fnp 5012 S Us Highway 75 Denison TX 75020-4587 Ph: (903) 465-5012 |
NPI Number | 1356796817 |
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Provider Enumeration Date | 05/03/2016 |
Last Update Date | 05/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356796817 | NPI | - | NPPES |
AP130767 | Other | TX | FNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | AP130767 (Texas) | Primary |
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