Linda A Goodrum
Gynecologist - Maternal & Fetal Medicine
251 Medical Center Blvd Suite 300a
Webster
, Texas 77598-4213
Linda A Goodrum
Gynecologist - Maternal & Fetal Medicine
251 Medical Center Blvd Suite 300a
Webster
, Texas 77598-4213
(281) 338-8849
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Linda A Goodrum
- 5124 Hidden Brook Ln
- League City, TX
- Zip : 77573-5781
- Fax : (281) 338-8849
- Phone : (281) 338-7693
Second Address
- Linda A Goodrum
- 251 Medical Center Blvd Suite 300a
- Webster, TX
- Zip : 77598-4213
- Fax : (281) 338-8849
- Phone : (281) 338-7693
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | J4827 | TX |
National Provider Identifier
| NPI | 1164412300 |
|---|---|
| Provider Name | Linda A Goodrum |
| First Address | League City, TX 77573-5781 |
| Second Address | Webster, TX 77598-4213 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2005 |
| Last Update Date | 24/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 132474109 | (05) | TX |
| 176589301 | (05) | TX |
| 20-1567092 | TAX IDENTIFICATION NUMBER (01) | TX |
| F82371 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.