Individual
JASON GOODRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 HILL COUNTRY DR STE 101, KERRVILLE, TX 78028-6024
(830) 258-7090
(830) 258-7098
Mailing address
PO BOX 26499, BELFAST, ME 04915-2015
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
V3007
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2018
Last updated
08/05/2024
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