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Individual

DR. BOONE W GOODGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1180 SETON PKWY STE 150, KYLE, TX 78640-6319
(512) 574-6530
(512) 504-0863
Mailing address
1601 RIO GRANDE ST STE 340, AUSTIN, TX 78701-1162
(512) 574-6530
(737) 337-5484

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
N6877
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
215859403
TX
05
215859404
TX
Enumeration date
05/17/2007
Last updated
03/25/2026
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