Individual provider · Type 1 NPI

Timothy Luke Godwin, MD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1043080864 Active · reactivated Sep 3, 2024

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235

Call (214) 590-8000 Map

Mailing address

4278 Royal Ridge Drive
Dallas, TX 75229

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043080864

Timothy Luke Godwin, MD's National Provider Identifier is 1043080864, issued on Jan 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Sep 3, 2024.