Individual
MRS. PATRICIA ANN GOALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1445 STILLWATER RD, WACO, TX 76708-7612
(254) 537-3714
Mailing address
1445 STILLWATER RD, WACO, TX 76708-7612
(254) 537-3714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004408
NY
363AS0400X
Surgical Physician Assistant
Primary
0110840722
VA
Other
Enumeration date
02/28/2006
Last updated
04/28/2020
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