MEDICARE: TEXAS HEALTH ARMORY

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	202D00000X	Integrative Medicine Physician

General Provider Information

NPI Number	:	1790466027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH ARMORY

Provider Business Mailing Address
First Line	:	2351 CHRISTINE LN
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-2318
Country	:	US
Telephone Number	:	469-231-3458
Fax Number	:

Provider Business Practice Location Address
First Line	:	6205 LA VISTA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-4312
Country	:	US
Telephone Number	:	214-434-1853
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JOSEPH HOLLIS GODWIN
Credential	:	DO
Telephone Number	:	469-231-3458

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	07/28/2023

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Directions to “TEXAS HEALTH ARMORY ” Practice Location

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