Individual
TARA ELAINE GODBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
19324 WEARYALL HILL LN, PFLUGERVILLE, TX 78660-4493
(512) 761-4379
Mailing address
19324 WEARYALL HILL LN, PFLUGERVILLE, TX 78660-4493
(512) 761-4379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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