| Reagan Rose Goodman, | |
|
120 E Harris Ave, San Angelo, TX 76903-5904 | |
| (325) 747-5509 | |
| Not Available |
| Full Name | Reagan Rose Goodman |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 2 Years |
| Location | 120 E Harris Ave, San Angelo, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629941463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT91912 (Texas) | Primary |
| Provider Name | Shannon Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Reagan Rose Goodman, 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 747-1511 | Reagan Rose Goodman, 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 747-5509 |
Royanne Mattick Greenwood, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 612 S Irene St, San Angelo, TX 76903 Phone: 325-658-6571 |
Megan Webb, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-659-7116 |
Ms. Carol Elissa Reyes, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-747-1511 |
Tamara M Hargett, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 301 W Beauregard Ave, Suite 202a, San Angelo, TX 76903 Phone: 325-651-2104 Fax: 877-320-9707 |
Mrs. Emily Nichole Bartz, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 |
Nicole Lusk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-8532 |
Karina Kislitsyna, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6038 Winners Cir, San Angelo, TX 76904 Phone: 325-710-9517 |