Individual
BRANDON PATRICK GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, DEPARTMENT OF DERMATOLOGY, GALVESTON, TX 77555-0783
(409) 772-1911
(409) 772-1943
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q0447
TX
207ND0900X
Dermatopathology Physician
Q0447
TX
Other
Enumeration date
03/31/2011
Last updated
02/05/2024
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