Individual
GREGG MARK GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
246 S COMMERCIAL ST, ARANSAS PASS, TX 78336
(361) 758-6224
(361) 758-7749
Mailing address
246 S COMMERCIAL ST, ARANSAS PASS, TX 78336
(361) 758-6224
(361) 758-7749
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004HQ
BCBS
TX
05
—
001998601
—
TX
Enumeration date
10/02/2006
Last updated
02/14/2011
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