Individual
CARA AMY RAPHAEL GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1023 SPRINGDALE RD STE 1J, AUSTIN, TX 78721-2465
(512) 298-4045
Mailing address
1023 SPRINGDALE RD STE 1J, AUSTIN, TX 78721-2465
(512) 298-4045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101258160
VA
207Q00000X
Family Medicine Physician
Primary
Q0642
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2012
Last updated
04/25/2023
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