person
Channa Terese Goodman, RN
Pediatric Registered Nurse in Tyler, Texas
NPI 1073281135

Channa Terese Goodman is a Pediatric Registered Nurse based in Tyler, TX and is specialized in Pediatrics. Channa Terese Goodman practices in Tyler, TX and has the professional credentials of RN. The NPI Number for Channa Terese Goodman is 1073281135 and holds a License No. 896590 (Texas).

The current practice location address for Channa Terese Goodman is 100 E Ferguson St Ste 608, Tyler, TX and can be reached out via phone at 903-705-0070. You can also correspond with Channa Terese Goodman through the mailing address at 100 E FERGUSON ST STE 608, TYLER, TX - 75702-5756 (mailing address contact number: 903-705-0070).

Location: 100 E Ferguson St Ste 608, Tyler, TX, 75702-5756
person
Provider Profile Details
NPI Number
1073281135
Provider Name
Channa Terese Goodman
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
100 E Ferguson St Ste 608, Tyler, TX, 75702-5756
Phone Number
903-705-0070
Fax Number
Provider Enumeration Date
09/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 E Ferguson St Ste 608
City
State
Zip
75702-5756
Phone Number
903-705-0070
Fax Number
person
Provider Business Mailing Address Details
Address
100 E Ferguson St Ste 608
City
State
Zip
75702-5756
Phone Number
903-705-0070
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
896590 (Texas)
Definition
Definition to come...
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