Individual
DR. CYNTHIA DIANE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
208 W SPRING VALLEY RD, RICHARDSON, TX 75081-4034
(972) 238-1976
(972) 238-0456
Mailing address
208 W SPRING VALLEY RD, RICHARDSON, TX 75081-4034
(972) 238-1976
(972) 238-0456
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J1640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016SH
BCBS
TX
05
—
286911701
—
TX
01
—
8DB165
BCBS
TX
01
—
D07564
PALMETTO RR
TX
01
—
P01005502
PALMETTO RR
TX
Enumeration date
01/13/2010
Last updated
10/24/2013
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