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NPI Code Detail

MEDICARE: KAREN O GOFF MD

MEDICARE: KAREN O GOFF 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
1208000000XPediatrics PhysicianK0355TX

General Provider Information

NPI Number : 1164502092
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN O GOFF MD
Provider Business Mailing Address
First Line : PO BOX 733784
Second Line :
City : DALLAS
State : TX
Zip : 75373-3784
Country : US
Telephone Number : 682-885-6163
Fax Number : 682-885-7347
Provider Business Practice Location Address
First Line : 3304 COLORADO BLVD STE 101
Second Line :
City : DENTON
State : TX
Zip : 76210-6872
Country : US
Telephone Number : 940-565-1510
Fax Number : 940-243-0607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 04/13/2021

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