Healthcare Provider Details

I. General information

NPI: 1316689367
Provider Name (Legal Business Name): REGAN GOOCHER RIVERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REGAN GOOCHER

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 S 31ST ST
TEMPLE TX
76508-0001
US

IV. Provider business mailing address

2401 S 31ST ST
TEMPLE TX
76508-0001
US

V. Phone/Fax

Practice location:
  • Phone: 254-724-7588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberW7430
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: