Individual
DR. THOMAS JOHN GOALEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E BROAD ST STE 421, MANSFIELD, TX 76063-6415
(469) 695-2028
(469) 695-2029
Mailing address
2800 E BROAD ST STE 421, MANSFIELD, TX 76063-6415
(469) 695-2028
(469) 695-2029
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
N3048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101055420
MEDICAL LICENSE
VA
01
—
056062
MEDICAL LICENSE
GA
01
—
18256
MEDICAL LICENSE
NE
01
—
G0165380
TEXAS DEPARTMENT OF PUBLIC SAFETY
TX
01
—
N3048
TX MED BOARD LICENSE
—
01
—
TEMP 10APR2009
TEXAS MEDICAL BOARD
—
Enumeration date
10/19/2005
Last updated
05/01/2025
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