Individual
JAMES R. GOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
3601 4TH ST, SUITE 3A112, LUBBOCK, TX 79430-0002
(806) 743-2373
(806) 743-4354
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA0039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89N938
BC/BS
TX
01
—
89N940
HMO BLUE
TX
01
—
A600
TRIWEST
NM
Enumeration date
11/30/2005
Last updated
07/09/2007
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