| Stacy Goodin, Fnp | |
|
5012 S Us Highway 75 Denison TX 75020-4587 | |
| (903) 465-5012 | |
| (866) 307-7513 |
| Full Name | Stacy Goodin, Fnp |
|---|---|
| Speciality | Clinic/center |
| Location | 5012 S Us Highway 75, Denison, Texas |
| Authorized Official Name and Position | Stacy Goodin (FNP) |
| Authorized Official Contact | 9034655012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Goodin, Fnp 5012 S Us Highway 75 Denison TX 75020-4587 Ph: (903) 465-5012 | Stacy Goodin, Fnp 5012 S Us Highway 75 Denison TX 75020-4587 Ph: (903) 465-5012 |
| NPI Number | 1356796817 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 05/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356796817 | NPI | - | NPPES |
| AP130767 | Other | TX | FNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP130767 (Texas) | Primary |
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