Individual
SAMUEL GOODEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
4002 VICTORIA AVE, COLLEGE STATION, TX 77845-4794
(979) 731-6787
Mailing address
3913 TRANQUIL PATH DR, COLLEGE STATION, TX 77845-5096
(979) 219-7421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5085
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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