Organization
CARDIOVASCULAR SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN ALLEN GOODRICH LP, CCP (CLINICAL PERFUSIONIST)
(214) 824-2510
Entity
Organization
Contact information
Practice address
3409 WORTH ST., STE. 725, DALLAS, TX 75246-0289
(214) 824-2510
Mailing address
3409 WORTH STREET., SUITE 725, DALLAS, TX 75246-0289
(214) 824-2510
(214) 826-0130
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PF0541
TX
Other
Enumeration date
04/19/2007
Last updated
06/23/2008
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