Jordan Taylor Gooch, PA-C

NPI #1992364970 in Live Oak, Texas

Provider Information

NPI Number: 1992364970
Entity Type: Individual
Name: Jordan Taylor Gooch, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 12, 2019
Last Updated: Dec 10, 2019

Practice Location

Address: 12850 TOEPPERWEIN RD
City: Live Oak
State: Texas
ZIP Code: 78233-4115
Phone: (210) 614-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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