MR. David A. Godwin, PA-C

NPI #1962586636 in Texarkana, Texas

Provider Information

NPI Number: 1962586636
Entity Type: Individual
Name: MR. David A. Godwin, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5508 DEER CREEK DR
City: Texarkana
State: Texas
ZIP Code: 75503-0012
Phone: (903) 832-5630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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