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Clyde Leroy Goodman

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NPI Number Detailed Information

Provider Information:

Name: Clyde Leroy Goodman
Gender: M
Provider License Number If Given: D7984

NPI Information:

NPI: 1801823083
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/26/2006

Last Update Date: 10/4/2012

Reputation Report:

Provider Business Mailing Address:

Address: 4840 BRYANT IRVIN CT. SUITE 104
Fort Worth, TX 76107
Phone Number: 8173354549
Fax Number: 8173770970

Provider Business Practice Location Address:

Address: 4840 BRYANT IRVIN CT. SUITE 104
Fort Worth, TX 76107
Phone Number: 8173354549
Fax Number: 8173770970

Provider Taxonomy:

Primary: 208D00000X
Secondary (if any):
State: TX

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About Clyde Leroy Goodman

Clyde Leroy Goodman ( CLYDE LEROY GOODMAN ) is Definition General Practice Physician in Fort Worth, TX. The NPI Number for Clyde Leroy Goodman is 1801823083.
The current location address for Clyde Leroy Goodman is 4840 BRYANT IRVIN CT. SUITE 104 Fort Worth, TX 76107 and the contact number is 8173354549 and fax number is 8173770970. The mailing address for Clyde Leroy Goodman is 4840 BRYANT IRVIN CT. SUITE 104 Fort Worth, TX 76107- 8173354549 (mailing address contact number - 8173354549).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Clyde Leroy Goodman ?


Answer: The NPI Number for Clyde Leroy Goodman is 1801823083

Where is Clyde Leroy Goodman located?


Answer: Clyde Leroy Goodman is located at 4840 BRYANT IRVIN CT. SUITE 104 Fort Worth, TX 76107.

What is the specialty for Clyde Leroy Goodman ?


Answer: The Specialty of Clyde Leroy Goodman is Definition General Practice Physician.

Are there any online reviews for Clyde Leroy Goodman ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fort Worth, TX?


Answer: Yes, there are given below...

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