Organization
G P GOODFRIED MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PAUL GOODFRIED MD (ORTHOPEDIC SURGEON/OWNER)
(903) 597-5798
Entity
Organization
Contact information
Practice address
1905 S DONNYBROOK AVE, TYLER, TX 75701-4236
(903) 597-3140
(903) 595-5693
Mailing address
1905 S DONNYBROOK AVE, TYLER, TX 75701-4236
(903) 597-3140
(903) 595-5693
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
F1592
TX
363A00000X
Physician Assistant
Primary
PA00823
TX
Other
Enumeration date
05/01/2009
Last updated
12/22/2011
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