Individual
ANNIE GAO GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 BLOSSOM ST, FL 4, WEBSTER, TX 77598-4204
(409) 772-3695
(832) 632-7866
Mailing address
12901 BRUCE B DOWNS BLVD, MDC 41, TAMPA, FL 33612-4742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Q8480
TX
2080P0206X
Pediatric Gastroenterology Physician
25680
NH
2080P0206X
Pediatric Gastroenterology Physician
Primary
Q8480
TX
Other
Enumeration date
04/01/2013
Last updated
12/12/2025
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