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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

G P GOODFRIED MD PA

Active Organization

G P GOODFRIED MD PA is a Physician Assistant organization located in TYLER, Texas. NPI 1639313851 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TYLER, TX

Registration Details

NPI Number
1639313851
Provider Type
Organization
NPI Issued
May 1, 2009 (17.306082164477 yrs)
Last Updated
Dec 22, 2011
Licenses
F1592 (TX)
PA00823 (TX)

Practice Information

Address
1905 S DONNYBROOK AVE
TYLER, TX, 757014236
Browse TX providers · Browse ZIP 75701
Phone
9035973140
Fax
9035955693
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Organizations in TYLER, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.