Individual
KATHERINE GOODWIN MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 456-7000
(214) 456-8132
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-7000
(214) 456-8132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q5477
TX
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Q5477
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
02/09/2024
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