Individual
IRA ALLENE GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS-BC
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-8800
(214) 645-8801
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-8800
(214) 645-8801
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP124184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15440
RX ID
TX
Enumeration date
06/17/2014
Last updated
11/13/2018
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