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Organization
GODLEY FAMILY MEDICINE CLINIC
Active
Organization
GODLEY FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY KEETON FNP-C (OWNER/PROVIDER)
(512) 645-0181
Entity
Organization
Contact information
Practice address
7431 SPRING RANCH CT, GODLEY, TX 76044-3855
(512) 645-0181
(512) 582-8585
Mailing address
PO BOX 682, GODLEY, TX 76044-0682
(512) 645-0181
(512) 582-8585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942604830
NPI INDIVIDUAL
—
Enumeration date
06/14/2018
Last updated
06/14/2018
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