Individual
MS. MONTEZ GORRELL-GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 386-7506
Mailing address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 386-7506
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R109708
MD
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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