# MARK J GODAT MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316758998
- **Authorized official:** JAN SMITH GODAT (ADMINISTRATION)
- **Authorized official phone:** (214) 893-8065

## Contact information

- **Practice address:** 12201 MERIT DR STE 400, DALLAS, TX 75251-3117
- **Practice address phone:** (469) 840-4888
- **Practice address fax:** (469) 840-4886
- **Mailing address:** 7009 LAKE EDGE DR, DALLAS, TX 75230-2368
- **Mailing address phone:** (214) 893-8065
- **Mailing address fax:** (214) 696-9483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2025
- **Last updated:** 01/16/2025