Individual
COLLEEN PATRICIA GOODROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3142 HORIZON RD, SUITE 209, ROCKWALL, TX 75032-7809
(972) 771-2222
(972) 771-3350
Mailing address
7610 STEMMONS FWY, SUITE 500, DALLAS, TX 75247-4231
(214) 689-5960
(214) 689-3804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06266
TX
363A00000X
Physician Assistant
PA1148
TN
Other
Enumeration date
05/23/2007
Last updated
10/30/2014
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