Individual
MR. DAVID A. GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5508 DEER CREEK DR, TEXARKANA, TX 75503-0012
(903) 832-5630
Mailing address
5508 DEER CREEK DR, TEXARKANA, TX 75503-0012
(903) 832-5630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04038
TX
363A00000X
Physician Assistant
PA179
AR
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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