# CAMERON D GODFREY MD PA

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

## Provider details

- **NPI number:** 1679741862
- **Authorized official:** CAMERON D GODFREY MD (OWNER/MEMBER)
- **Authorized official phone:** (940) 264-5500

## Contact information

- **Practice address:** 1619 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-1921
- **Practice address phone:** (940) 264-5500
- **Practice address fax:** (940) 264-5503
- **Mailing address:** 1619 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-1921
- **Mailing address phone:** (940) 264-5500
- **Mailing address fax:** (940) 264-5503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 02/09/2009