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NPI Code Detail

MEDICARE: MS. ADOLPHINA GOODWIN

MEDICARE: MS. ADOLPHINA GOODWIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/Center
2335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
32085U0001XDiagnostic Ultrasound Physician625084TX

General Provider Information

NPI Number : 1326285933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADOLPHINA GOODWIN
Provider Business Mailing Address
First Line : 8080 N CENTRAL EXPY STE 1700
Second Line :
City : DALLAS
State : TX
Zip : 75206-3783
Country : US
Telephone Number : 469-466-5557
Fax Number : 469-466-5558
Provider Business Practice Location Address
First Line : 8080 N CENTRAL EXPY STE 1700
Second Line :
City : DALLAS
State : TX
Zip : 75206-3783
Country : US
Telephone Number : 469-466-5557
Fax Number : 469-466-5558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2009
Last Update Date : 08/06/2025

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