Jerry Goodman

NPI 1467782342 · on the registry since 2009 · sole proprietor

Practice

Address: 2620 Fountain View Dr Ste 250
Houston, TX 77057
Phone: (713) 266-1711
Fax: (713) 334-0079
Organisation at this address: Peterson Dna Testing
White Lotus Acupuncture
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas