Individual
DR. GEORGE E GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3624 EDEN DR, DALLAS, TX 75287-6261
(405) 245-9333
Mailing address
3624 EDEN DR, DALLAS, TX 75287-6261
(405) 245-9333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.010017
IL
152W00000X
Optometrist
Primary
2128
OK
Other
Enumeration date
08/25/2006
Last updated
10/22/2012
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