Individual
CRAIG WILLIAM GOODHART
Active
Individual
CRAIG WILLIAM GOODHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H7743
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
H7743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113597205
—
TX
01
—
6484850003
MEDICARE NSC - EFFECT. 02/01/2011
TX
01
—
8CR158
BCBS TX 02/01/2011
TX
01
—
8F4980
BLUE CROSS BLUE SHIELD
TX
01
—
P00913364
RAILROAD MEDICARE
TX
01
—
TXB117559
MEDICARE PART B - EFFECT. 02/01/2011
TX
Enumeration date
10/11/2006
Last updated
02/01/2017
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