Organization
STACY GOODIN, FNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY GOODIN FNP (FNP)
(903) 465-5012
Entity
Organization
Contact information
Practice address
5012 S US HIGHWAY 75, DENISON, TX 75020-4587
(903) 465-5012
(866) 307-7513
Mailing address
5012 S US HIGHWAY 75, DENISON, TX 75020-4587
(903) 465-5012
(866) 307-7513
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP130767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP130767
FNP
TX
Enumeration date
05/03/2016
Last updated
05/03/2016
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