Individual
REAGAN ROSE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 747-5509
Mailing address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 747-1511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT91912
TX
Other
Enumeration date
09/26/2025
Last updated
02/04/2026
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