Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLYDE LEROY GOODMAN, MD
ActiveCLYDE LEROY GOODMAN, MD is a General Practice healthcare provider located in FORT WORTH, Texas. NPI 1801823083 is currently active in the NPPES registry. Verify at CMS.
General Practice · FORT WORTH, TX
Registration Details
- NPI Number
- 1801823083
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2006 (20.112794173843 yrs)
- Last Updated
- Oct 4, 2012
- License
-
D7984 (TX)
Practice Information
- Address
-
4840 BRYANT IRVIN CT.SUITE 104FORT WORTH, TX, 761077680Browse TX providers · Browse ZIP 76107
- Phone
- 8173354549
- Fax
- 8173770970
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH M. YAKER | M.D. | 1427161173 |
| MARK E MORRIS | M.D. | 1538280706 |
| PAUL LYNDON PATRICK | D.O. | 1922210996 |
| DR. LARRY EDWIN BRADLEY | D.O. | 1962711036 |
| DR. LINDA ATLAS REESE | D.O. | 1063785665 |
| DR. GORDON PATTERSON SHARRATT | D.O. | 1376817932 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.