Individual
DR. DAVID RAY GODINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2545 PERRYTON PKWY STE 35, PAMPA, TX 79065-2820
(806) 486-1697
(806) 412-5573
Mailing address
2525 N. GRANDVIEW AVENUE, SUITE 400, ODESSA, TX 79761-4781
(432) 550-4700
(432) 550-4715
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1200300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200300
ECPTOTE
TX
05
—
2833224802
—
TX
Enumeration date
09/17/2010
Last updated
08/14/2017
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