MEDICARE: GODLEY FAMILY MEDICINE CLINIC

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	363LF0000X	Family Nurse Practitioner	AP126404	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1942604830	OTHER		NPI INDIVIDUAL

General Provider Information

NPI Number	:	1760976617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GODLEY FAMILY MEDICINE CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 682
Second Line	:
City	:	GODLEY
State	:	TX
Zip	:	76044-0682
Country	:	US
Telephone Number	:	512-645-0181
Fax Number	:	512-582-8585

Provider Business Practice Location Address
First Line	:	7431 SPRING RANCH CT
Second Line	:
City	:	GODLEY
State	:	TX
Zip	:	76044-3855
Country	:	US
Telephone Number	:	512-645-0181
Fax Number	:	512-582-8585

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	JOY KEETON
Credential	:	FNP-C
Telephone Number	:	512-645-0181

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	06/14/2018

Similar Medicare Providers

1275786576 — DEBBY LOUISE POLOZECK FNP-C
Practice Location Address:

12590 FM 2331
GODLEY, TX
76044-3319

Practice Phone: 817-250-7285
Practice Fax:

1306797055 — LITTLE VICTORIES ABA SERVICES LLC
Practice Location Address:

6961 COUNTY ROAD 913
GODLEY, TX
76044-3302

Practice Phone: 940-333-3165
Practice Fax:

1982720264 — GODLEY ISD
Practice Location Address:

512 W LINKS DR
GODLEY, TX
76044-3744

Practice Phone: 817-389-2536
Practice Fax:

1366563157 — BLUEBONNET RESIDENTIAL CENTER - GENERAL PARTNERSHIP
Practice Location Address:

524 N PEARSON ST
GODLEY, TX
76044-3702

Practice Phone: 817-389-3442
Practice Fax: 817-389-2354

1801073002 — SCP ACQUISITION PARTNERS, LTD
Practice Location Address:

524 N PEARSON ST
GODLEY, TX
76044-3702

Practice Phone: 817-389-3442
Practice Fax: 817-389-2354

1821417759 — JULIANDRA DEAR LPC
Practice Location Address:

409 N PEARSON ST
GODLEY, TX
76044-3748

Practice Phone: 817-389-2121
Practice Fax:

Directions to “GODLEY FAMILY MEDICINE CLINIC ” 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 © 2007-2026 (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.