Individual
JAEEUN GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1244
Mailing address
1670 E BROAD ST STE 110, MANSFIELD, TX 76063-1868
(682) 341-7510
(682) 341-7511
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
U3853
TX
Other
Enumeration date
04/01/2021
Last updated
01/15/2026
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