Goodridge, Timothy James

Goodridge, Timothy James is an individual health care provider with primary practice located at 302 University Blvd , Round Rock TX 78665-1032. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Goodridge, Timothy James can be contacted via phone (512) 509-0200.

Contact Information

Primary practice address
302 University Blvd Round Rock TX 78665-1032
Phone: (512) 509-0200
Fax: (512) 218-6330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 343 Texas

Profile Details

NPI number 1174669451
LBN Legal business name Goodridge, Timothy James
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 16th, 2021 - about 3 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 1174669451 NPPES
Texas Other 430055881 RAILROAD MEDICARE

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