Individual
HOLLY M GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
815 MARKET ST, GALVESTON, TX 77550-2725
(813) 281-8115
(813) 281-8656
Mailing address
PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y3947
BCBS
TX
Enumeration date
03/06/2008
Last updated
11/20/2012
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