Organization
G. SUZANNE GOODCHILD D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER SUZANNE GOODCHILD D.O. (OWNER)
(817) 326-2727
Entity
Organization
Contact information
Practice address
2200 JAMES RD, GRANBURY, TX 76049-8207
(817) 326-2727
(817) 326-5737
Mailing address
2200 JAMES RD, GRANBURY, TX 76049-8207
(817) 326-2727
(817) 326-5737
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L1867
TX
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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