Goodrum, Myka
Goodrum, Myka is an individual health care provider with primary practice located at 1101 Keller Pkwy , Keller TX 76248-3614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Goodrum, Myka can be contacted via phone (817) 562-3111.Contact Information
Primary practice address
1101 Keller Pkwy
Keller TX 76248-3614
Phone: (817) 562-3111
Fax: (817) 562-3114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 119534 | Texas |
Profile Details
| NPI number | 1013485093 |
|---|---|
| LBN Legal business name | Goodrum, Myka |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2018 |
| Last updated | Aug 19th, 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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