Organization
GOODALE MEDICAL LP
Active
Other names
Physicians Choice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FARNSWORTH GOODALE (PRESIDENT)
(214) 328-0019
Entity
Organization
Contact information
Practice address
2614 INDUSTRIAL LN STE B, GARLAND, TX 75041-2365
(214) 932-6202
Mailing address
2614 INDUSTRIAL LN STE B, GARLAND, TX 75041-2365
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0011294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14638901
—
TX
Enumeration date
07/10/2006
Last updated
06/05/2012
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