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Individual

DONNA LEA-CRAIG GOECKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2371
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP104372
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146823304
TX
01
85326U
BCBSTX
TX
Enumeration date
07/15/2006
Last updated
07/25/2025
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