Individual
KIMBERLY DIANNE GOODSPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION, DALLAS, TX 75235
(214) 456-2735
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-0102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R3518
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
R3518
TX
Other
Enumeration date
03/27/2012
Last updated
08/06/2018
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