MEDICARE: DAVID M GODAT MD

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
1	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	M0733	TX

General Provider Information

NPI Number	:	1740387281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M GODAT MD

Provider Business Mailing Address
First Line	:	PO BOX 195249
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-8604
Country	:	US
Telephone Number	:	469-248-0899
Fax Number	:	469-206-7552

Provider Business Practice Location Address
First Line	:	11970 N CENTRAL EXPY
Second Line	:	SUITE 500
City	:	DALLAS
State	:	TX
Zip	:	75243-3768
Country	:	US
Telephone Number	:	469-248-0899
Fax Number	:	469-206-7552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2006
Last Update Date	:	04/09/2013

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Directions to “ DAVID M GODAT MD” Practice Location

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