Grady G Goodwin (NPI# 1407964158, PAC ID# 2961403803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1407964158 |
| PAC ID by PECOS | 2961403803 |
| Professional Enrollment ID | I20070120000029 |
| Full Name | Grady G Goodwin |
| Organization Legal Name | CLINIC AT C C YOUNG |
| Address |
4829 W Lawther Dr Dallas TX 75214-1858 |
| Phone Number | 9724327874 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668753401 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4829 W Lawther Dr, Dallas, TX 75214-1858 | 9724327874 | CLINIC AT C C YOUNG |
| Organization Legal Name | CLINIC AT C C YOUNG |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara C Goodwin | Internal Medicine | Clinic At C C Young | 4829 W Lawther Dr, Dallas, TX 75214-1858 |
| Paula G Gillman | Nurse Practitioner | Clinic At C C Young | 4829 W Lawther Dr, Dallas, TX 75214-1858 |
| Street Address |
4829 W LAWTHER DR |
| City | DALLAS |
| State | TX |
| Zip | 75214-1858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara C Goodwin | Internal Medicine | Clinic At C C Young | 4829 W Lawther Dr, Dallas, TX 75214-1858 |
| Paula G Gillman | Nurse Practitioner | Clinic At C C Young | 4829 W Lawther Dr, Dallas, TX 75214-1858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Kellum | Physical Therapy | Athletico Ltd | 5510 Abrams Rd, Suite 115, Dallas, TX 75214-2099 |
| Nicole Gideon | Physical Therapy | Athletico Ltd | 5510 Abrams Rd, Suite 115, Dallas, TX 75214-2099 |
| Jill A Cahill | Physical Therapy | Athletico Ltd | 5510 Abrams Rd, Suite 115, Dallas, TX 75214-2099 |
| Darren M Bayliss | Physical Therapy | Athletico Ltd | 5510 Abrams Rd, Suite 115, Dallas, TX 75214-2099 |
| Richard M Lowlicht | Physical Therapy | Athletico Ltd | 5510 Abrams Rd, Suite 115, Dallas, TX 75214-2099 |
| Andrea K Baird | Physical Therapy | Athletico Ltd | 5510 Abrams Rd, Suite 115, Dallas, TX 75214-2099 |
| Kathleen E Gallerano | Physical Therapy | Maximum Impact Physical Therapy Services LLC | 5510 Abrams Rd, Suite 115, Dallas, TX 75214-2099 |
| Travis L Downs | Chiropractic | 6333 E Mockingbird Ln, 260 Texas Chiro Health of Lakewood, Dallas, TX 75214-2368 | |
| Timothy Ashley | Physical Therapy | Ideal Physical Therapy of Texas LLC | 6333 E Mockingbird Lane, Suite 139, Dallas, TX 75214-2376 |
| Mackenzie Marie Pfitzinger | Physical Therapy | Ideal Physical Therapy of Texas LLC | 6333 E Mockingbird Lane, Suite 139, Dallas, TX 75214-2376 |
| Find all physicians in zip 75214 | |||
| City | DALLAS |
| Zip Code | 75214 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DALLAS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Grady G Goodwin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.