Individual
CAMERON GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BURNSIDE, WICHITA FALLS, TX 76310-1123
(940) 264-5500
(940) 264-5503
Mailing address
1 BURNSIDE, WICHITA FALLS, TX 76310-1123
(940) 264-5500
(940) 264-5503
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
F6674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1171811-01
—
TX
01
—
B23025
UPIN
TX
Enumeration date
01/06/2006
Last updated
02/06/2015
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