MEDICARE: DAVID GRAY GODFREY 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	207W00000X	Ophthalmology Physician	K8174	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8W9930	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194761882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GRAY GODFREY MD

Provider Business Mailing Address
First Line	:	10740 N CENTRAL EXPY
Second Line	:	STE 300
City	:	DALLAS
State	:	TX
Zip	:	75231-2168
Country	:	US
Telephone Number	:	214-360-0000
Fax Number	:	214-360-0083

Provider Business Practice Location Address
First Line	:	10740 N CENTRAL EXPY
Second Line	:	SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75231-2161
Country	:	US
Telephone Number	:	214-360-0000
Fax Number	:	214-360-0083

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	08/20/2019

Similar Medicare Providers

1376530709 — DR. WAYNE EDWARD CULBERTSON O.D.
Practice Location Address:

10740 N CENTRAL EXPY STE 250
DALLAS, TX
75231-2161

Practice Phone: 214-253-0202
Practice Fax: 214-253-0203

1194778928 — DR. JOHN RUSSELL GILMORE M.D.
Practice Location Address:

10740 N CENTRAL EXPY , SUITE 120
DALLAS, TX
75231-2161

Practice Phone: 214-361-5285
Practice Fax: 214-946-7844

1780626226 — RONALD LEIGH FELLMAN MD
Practice Location Address:

10740 N CENTRAL EXPY , SUITE 300
DALLAS, TX
75231-2161

Practice Phone: 214-360-0000
Practice Fax: 214-360-0083

1619919008 — HENRY GELENDER MD
Practice Location Address:

10740 N CENTRAL EXPY , SUITE 350
DALLAS, TX
75231-2161

Practice Phone: 214-692-0146
Practice Fax: 214-692-1698

1457397762 — CHARLES BRADLEY BOWMAN MD
Practice Location Address:

10740 N CENTRAL EXPY , SUITE 350
DALLAS, TX
75231-2161

Practice Phone: 214-692-0146
Practice Fax: 214-692-1698

1093742207 — WALTER E BEEBE MD
Practice Location Address:

10740 N CENTRAL EXPY , SUITE 350
DALLAS, TX
75231-2161

Practice Phone: 214-692-0146
Practice Fax: 214-692-1698

Directions to “ DAVID GRAY GODFREY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.