Individual
MRS. AMANDA GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 LAFFERTY AVE, CAMERON, TX 76520-3684
(254) 605-1100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
138949
TX
Other
Enumeration date
10/02/2018
Last updated
04/11/2023
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