Individual
DR. GREGORY GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7220 LOUIS PASTEUR, STE #115, SAN ANTONIO, TX 78229
(210) 614-8899
(210) 614-1611
Mailing address
4 ASPEN CREEK DRIVE, SAN ANTONIO, TX 78248
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G5097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137559403
—
TX
Enumeration date
11/08/2006
Last updated
05/21/2009
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