Hogan Mackenzie Goodson

NPI #1245748482 in Detroit, Texas

Provider Information

NPI Number: 1245748482
Entity Type: Individual
Name: Hogan Mackenzie Goodson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 22, 2018
Last Updated: Jan 22, 2018

Practice Location

Address: 1543 FM 1502
City: Detroit
State: Texas
ZIP Code: 75416
Phone: (903) 495-3968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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