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Clyde Goodman, MD
NPI 1801823083 · on the registry since 2006
Practice
- Address
- 4840 Bryant Irvin Ct.
Suite 104
Fort Worth, TX 76107 - Phone
- (817) 335-4549
- Fax
- (817) 377-0970
- Organisation at this address
- West Fort Worth Dermatology, P.A.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Physician
208D00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-04
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