CHANNA TERESE GOODMAN

TYLER, TX
NPI1073281135
Former NameCHANNA ROYAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0200X Registered Nurse, Pediatrics
(Licence: TX  896590)
Enumeration Date2021-09-02
Last Update Date2021-09-02
Business Address
CHANNA TERESE GOODMAN RN
100 E FERGUSON ST STE 608
TYLER, TX 75702-5756
Phone number: 903-705-0070
Mailing Address
CHANNA TERESE GOODMAN RN
100 E FERGUSON ST STE 608
TYLER, TX 75702-5756
Phone number: 903-705-0070