MD Juan Godinez, NPI 1417914847
Radiation Oncology Physician in Decatur, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1417914847
NPI Entity Type Individual
Provider Name MD Juan Godinez
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2010 Ben Merritt Dr Unit A, Decatur, TX, US
Provider Mailing Address 7415 Las Colinas Blvd Ste 100, Irving, TX, US, 750637569
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0001X

Taxonomy Name Radiation Oncology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. N6314
License State TX
Description A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Other Name

MD Juan Godinez-puebla
Other Name

Business Address

MD Juan Godinez
2010 Ben Merritt Dr Unit A

Decatur, TX, US

Phone: 940-626-2300
Fax: 940-626-2315

Mailing Address

MD Juan Godinez
7415 Las Colinas Blvd Ste 100
Irving, TX, US
ZIP 750637569
Phone: 214-379-2722
Fax: 972-869-3875

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0001X

Allopathic & Osteopathic Physicians

Radiology

ME70845 FL No

2085R0001X

Allopathic & Osteopathic Physicians

Radiology

220850 MA No

2085R0001X

Allopathic & Osteopathic Physicians

Radiology

CDR.0001781 CO No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
P01875021 TX RAILROAD 01
364030201 TX MEDICAID 05
251521 FL AVMED 01
258329100 FL MEDICAID 05
44853 FL BCBSFL 01
P00862529 FL RR MEDICARE 01

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1891155230

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Organization

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Organization

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Organization

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Organization

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LPC Lawanda Martin

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DR. DDS Blessing Alagba

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Jessica Hooson, Lcsw, P.l.l.c.

Organization

Community/Behavioral Health Agency

1004 Placid Creek Ct

Round Rock, TX

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