Individual provider · Type 1 NPI
Clyde Leroy Goodman, MD
General Practice Physician · Fort Worth, TX
NPI number
1801823083
Active
Practice location
4840 Bryant Irvin Ct., Suite 104
Fort Worth, TX 76107-7680
Fax (817) 377-0970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | D7984 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1801823083
Clyde Leroy Goodman, MD's National Provider Identifier is 1801823083, issued on Jun 26, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 4, 2012.