Individual
CLIFFORD JACK GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 645-2020
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
S2049
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
S2049
TX
Other
Enumeration date
06/20/2015
Last updated
04/10/2024
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