Individual
SANDRA JEAN GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2231 W GENTRY PKWY, TYLER, TX 75702-2809
(903) 535-9041
Mailing address
523 S FANNIN AVE, TYLER, TX 75702-8204
(903) 535-9041
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP142286
TX
Other
Enumeration date
07/26/2019
Last updated
11/20/2024
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