Individual
GARY EDWARD GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8440 WALNUT HILL LN STE 420, DALLAS, TX 75231-3833
(214) 879-9966
(214) 267-8999
Mailing address
8440 WALNUT HILL LN STE 420, DALLAS, TX 75231-3833
(214) 879-9966
(214) 267-8999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J6460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135348408
—
TX
01
—
75-2884426
TAX ID
TX
Enumeration date
11/16/2005
Last updated
01/09/2014
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