Individual
ERIC STEVEN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
123 E MAIN ST, UVALDE, TX 78801-5619
(830) 278-7500
(830) 278-7878
Mailing address
924 INDIAN RDG, NEW BRAUNFELS, TX 78132-3557
(830) 278-7500
(830) 278-7878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1017051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017051
STATE LICENSE NUMBAR
TX
Enumeration date
10/04/2006
Last updated
07/08/2007
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