Goodman, Cynthia Diane

Goodman, Cynthia Diane is an sole proprietor health care provider with primary practice located at 208 W Spring Valley Rd , Richardson TX 75081-4034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Goodman, Cynthia Diane can be contacted via phone (972) 238-1976.

Contact Information

Primary practice address
208 W Spring Valley Rd Richardson TX 75081-4034
Phone: (972) 238-1976
Fax: (972) 238-0456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J1640 Texas

Profile Details

NPI number 1528398518
LBN Legal business name Goodman, Cynthia Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2010
Last updated Oct 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528398518 NPPES
Texas Other 0016SH BCBS
Texas Other P01005502 BCBS
Texas MEDICAID 286911701 BCBS
Texas Other 8DB165 BCBS
Texas Other D07564 BCBS

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