Individual
BRAXTON GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2037 RHUMBA TRL, CORPUS CHRISTI, TX 78410-1880
(801) 874-7011
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
10425350-3101
UT
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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