Individual
MR. GARY PAUL GOODFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 S DONNYBROOK AVE, TYLER, TX 75701-4236
(903) 597-5798
(903) 593-8782
Mailing address
1905 S DONNYBROOK AVE, TYLER, TX 75701-4236
(903) 597-3140
(903) 595-5693
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F1592
TX
Other
Enumeration date
10/11/2005
Last updated
12/22/2011
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