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Ms. Vivian D Goodman
Surgical Physician Assistant in Desoto, Texas
NPI 1316600349

Vivian D Goodman is a Surgical Physician Assistant based in Desoto, TX and is specialized in Surgical. Vivian D Goodman practices in Desoto, TX. The NPI Number for Vivian D Goodman is 1316600349 and holds a License No. (Texas).

The current practice location address for Vivian D Goodman is 830 Nora Ln, Desoto, TX and can be reached out via phone at 214-455-1901.

Location: 830 Nora Ln, Desoto, TX, 75115-5462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316600349
Provider Name
Vivian D Goodman
Credential
Provider Entity Type
Individual
Gender
Female
Address
830 Nora Ln, Desoto, TX, 75115-5462
Phone Number
214-455-1901
Fax Number
Provider Enumeration Date
10/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
830 Nora Ln
City
Desoto
State
Texas
Zip
75115-5462
Phone Number
214-455-1901
Fax Number
person
Provider Business Mailing Address Details
Address
830 Nora Ln
City
Desoto
State
Texas
Zip
75115-5462
Phone Number
214-455-1901
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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