Doctor Name: | DR. DAVID JAMES GOODWIN |
NPI Number: | 1205938560 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 5817 |
Business Practice Address: | 12171 W Parmer Ln Suite 203 Cedar Park, TX - 786137361 |
Business Phone Number: | 5125881501 |
Business Fax Number: | 5125881502 |
Mailing Address: | 12171 W Parmer Ln, Suite 203 CEDAR PARK |
State: | TX |
Postal Code: | 786137361 |
Phone Number: | 5125881501 |
Fax Number: | 5125881502 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5817 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |