Doctor Name: | WARREN D GOODWIN |
NPI Number: | 1356577712 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCP |
License Number: | PF0043 |
Business Practice Address: | 312 E Houston St Tyler, TX - 757028218 |
Business Phone Number: | 9035355011 |
Business Fax Number: | 9035355000 |
Mailing Address: | 312 E Houston St, TYLER |
State: | TX |
Postal Code: | 757028218 |
Phone Number: | 9035355011 |
Fax Number: | 9035355000 |
NPI Enumeration Date: | 05/29/2009 |
NPI Last Update Date: | 05/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 242T00000X |
License Number: | PF0043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Perfusionist |
Taxonomy Specialization: | |
Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |