Individual
MARK JOSEPH GODAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE C218, DALLAS, TX 75230-6838
(972) 566-6655
Mailing address
10427 LENNOX LN, DALLAS, TX 75229-6513
(972) 566-6655
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G5096
TX
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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