Individual
MRS. GINA GREER GOODGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2017 BROADWAY ST, PEARLAND, TX 77581-5501
(281) 485-9990
(281) 485-9469
Mailing address
414 N SHADOWBEND AVE, FRIENDSWOOD, TX 77546-3839
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01052685
COMMISSION OF DIETETIC REGISTRATION
—
01
—
DT85180
TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS
TX
Enumeration date
02/14/2018
Last updated
03/11/2024
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