Individual
CHRISTOPHER GODDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
4111 MARATHON BLVD STE 110, AUSTIN, TX 78756-3753
(512) 676-5494
Mailing address
4423 MARATHON BLVD, AUSTIN, TX 78756-3428
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01754
TX
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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