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1174669451
TIMOTHY JAMES GOODRIDGE
ROUND ROCK, TX
NPI
1174669451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: TX 343)
Enumeration Date
2007-01-30
Last Update Date
2021-12-16
Business Address
TIMOTHY JAMES GOODRIDGE A.A.
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665-1032
Phone number: 512-509-0200
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Mailing Address
TIMOTHY JAMES GOODRIDGE A.A.
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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