Goodwin, Kathleen A
Goodwin, Kathleen A is an sole proprietor health care provider with primary practice located at 2401 Haine Dr , Harlingen TX 78550-8592. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Goodwin, Kathleen A can be contacted via phone (956) 412-2400.Contact Information
Primary practice address
2401 Haine Dr
Harlingen TX 78550-8592
Phone: (956) 412-2400
Fax: (956) 412-2404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 655955 | Texas |
Profile Details
| NPI number | 1104986751 |
|---|---|
| LBN Legal business name | Goodwin, Kathleen A |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Nov 11th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104986751 | NPPES |
| Texas | MEDICAID | 088283903 | |
| Texas | Other | BCBS | |
| Texas | Other | 423613 |
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