Individual
BRANDT GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
2076 YASMEEN CIR, FLINT, TX 75762-6735
(903) 754-2384
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119809
TX
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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