Individual
DANIEL A. GOGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P,A,
Contact information
Practice address
2630 WEST FWY STE 230, FORT WORTH, TX 76102-7171
(817) 338-0808
Mailing address
2630 WEST FWY STE 230, FORT WORTH, TX 76102-7171
(817) 338-0808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E0934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035757601
—
TX
Enumeration date
02/14/2007
Last updated
03/21/2012
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