Individual
MR. JAMES RANDALL GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9222 ACORN DR, WOODWAY, TX 76712-3322
(254) 776-2679
Mailing address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-1128
(254) 743-1060
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
632652
TX
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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