Organization
GODINEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANISA M GODINEZ MD (PRESIDENT)
(512) 863-4563
Entity
Organization
Contact information
Practice address
1400 HESTERS CROSSINGS RD, ROUND ROCK, TX 78681-8025
(512) 244-4400
(512) 244-4752
Mailing address
PO BOX 678342, DALLAS, TX 75267-8342
(512) 244-4400
(512) 244-4752
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L41D
BCBS
TX
05
—
202213901
—
TX
Enumeration date
03/22/2006
Last updated
11/03/2014
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