| Doctor Name: | MR. JAMES RANDALL GOODWIN |
| NPI Number: | 1235143876 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 632652 |
| Business Practice Address: | 9222 Acorn Dr Woodway, TX - 767123322 |
| Business Phone Number: | 2547762679 |
| Business Fax Number: | |
| Mailing Address: | 1901 S 1st St, TEMPLE |
| State: | TX |
| Postal Code: | 765047451 |
| Phone Number: | 2547431128 |
| Fax Number: | 2547431060 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 632652 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |