Individual
ANDREA GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(817) 688-5258
Mailing address
3500 GASTON AVE, DALLAS, TX 75246-2017
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R2344
TX
Other
Enumeration date
05/15/2014
Last updated
06/26/2017
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