Goudreau, Jeffrey B

Goudreau, Jeffrey B is an individual health care provider with primary practice located at 5461 La Sierra Dr , Dallas TX 75231-4107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goudreau, Jeffrey B can be contacted via phone (214) 692-8541.

Contact Information

Primary practice address
5461 La Sierra Dr Dallas TX 75231-4107
Phone: (214) 692-8541
Fax: (214) 242-1035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H2411 Texas

Profile Details

NPI number 1932179314
LBN Legal business name Goudreau, Jeffrey B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 5th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932179314 NPPES
Texas MEDICAID 043249401

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