Individual
DR. GODDY T CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 E WHITESTONE BLVD, CEDAR PARK, TX 78613-9093
(512) 260-6100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME98600
FL
208000000X
Pediatrics Physician
Primary
N7244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278782200
—
FL
Enumeration date
04/04/2007
Last updated
01/13/2021
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