Colleen Patricia Goodroe in Rockwall - Physician Assistant
Colleen Patricia Goodroe - NPI 1083824783
Colleen Patricia Goodroe is a Physician Assistant in Rockwall, Texas. Colleen Patricia Goodroe practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Colleen Patricia Goodroe is 1083824783. The last update date is 2014-10-30.
Colleen Patricia Goodroe's current location address is 3142 Horizon Rd, Rockwall, Texas. You can contact this provider via phone number 9727712222 and fax number 9727713350. The mailing address for Colleen Patricia Goodroe is 3142 Horizon Rd, Rockwall, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen Patricia Goodroe |
|---|---|
| Address | 3142 Horizon Rd, Rockwall, Texas |
| Phone Number | 9727712222 |
| Fax Number | 9727713350 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1083824783 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2014-10-30 |
Provider Mailing Address Detail
| Address | 3142 Horizon Rd |
|---|---|
| City | Rockwall |
| State | Texas (TX) |
| Post Code | 750327809 |
| Phone Number | 9727712222 |
| Fax Number | 9727713350 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1148 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Colleen Patricia Goodroe by the Centers for Medicare & Medicaid Services?
The Colleen Patricia Goodroe has been assigned the NPI (National Provider Identifier) 1083824783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Colleen Patricia Goodroe's facilities are situated?
The facilities of Colleen Patricia Goodroe are physically located at the following address: 3142 Horizon Rd, Rockwall, TX, 750327809.
What is Colleen Patricia Goodroe's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Colleen Patricia Goodroe is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083824783 to Colleen Patricia Goodroe?
The Centers for Medicare & Medicaid Services originally issued the 1083824783 to Colleen Patricia Goodroe on 2007-05-23.
As of what date was the information regarding Colleen Patricia Goodroe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Colleen Patricia Goodroe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-30.