Individual
JASON GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 960-5681
Mailing address
2710 SWISS AVE, DALLAS, TX 75204-5900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132469
TX
Other
Enumeration date
10/31/2016
Last updated
09/05/2023
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