Individual
MADELUN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 PINE ST, NACOGDOCHES, TX 75965-2821
(903) 804-0949
Mailing address
311 PINE ST, NACOGDOCHES, TX 75965-2821
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
TX
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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