Individual provider · Type 1 NPI
Hogan Mackenzie Goodson
Student in an Organized Health Care Education/Training Program · Detroit, TX
NPI number
1245748482
Active
Practice location
1543 FM 1502
Detroit, TX 75416
Mailing address
PO Box 347
Blossom, TX 75416-0347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 38084403 (TX) |
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.
About NPI 1245748482
Hogan Mackenzie Goodson's National Provider Identifier is 1245748482, issued on Jan 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, TX. The record was last updated on Jan 22, 2018.