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Individual

DR. CASEY GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6431 FANNIN ST, SUITE JJL 308S, HOUSTON, TX 77030-1501
(713) 500-7600
(713) 500-7619
Mailing address
6431 FANNIN ST, SUITE JJL 308S, HOUSTON, TX 77030-1501
(713) 500-7600
(713) 500-7619

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S1816
TX

Other

Enumeration date
06/01/2016
Last updated
07/16/2019
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