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Contact Information

JUAN GODINEZ, MD
2010 BEN MERRITT DR UNIT A
DECATUR, TX76234-3853
 Phone: 940-626-2300
 Fax: 940-626-2315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JUAN GODINEZ · (Male)

NPI Number 1417914847
Status Active
Credentials MD
Entity Individual
Enumeration date 04/28/2006
Last updated 06/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # CDR.0001781
  • FL License # ME70845
  • MA License # 220850
  • TX License # N6314
  • FL Medicaid 258329100
  • TX Medicaid 364030201
  • FL Other 251521 AVMED
  • FL Other 44853 BCBSFL
  • FL Other P00862529 RR MEDICARE
  • TX Other P01875021 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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