TIMOTHY JAMES GOODRIDGE

ROUND ROCK, TX
NPI1174669451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: TX  343)
Enumeration Date2007-01-30
Last Update Date2021-12-16
Business Address
TIMOTHY JAMES GOODRIDGE A.A.
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665-1032
Phone number: 512-509-0200
Mailing Address
TIMOTHY JAMES GOODRIDGE A.A.
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: