Ms. Diane Marie Goddard
Nurse Practitioner - Psychiatric/Mental Health
8122 Datapoint Dr Ste 1003
San Antonio
, Texas 78229-3273
Ms. Diane Marie Goddard
Nurse Practitioner - Psychiatric/Mental Health
8122 Datapoint Dr Ste 1003
San Antonio
, Texas 78229-3273
(210) 261-1821
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Ms. Diane Marie Goddard
- 6800 Park Ten Blvd Ste 200s
- San Antonio, TX
- Zip : 78213-4293
- Fax : (210) 261-1821
- Phone : (210) 287-4472
Second Address
- Ms. Diane Marie Goddard
- 8122 Datapoint Dr Ste 1003
- San Antonio, TX
- Zip : 78229-3273
- Fax : (210) 261-1837
- Phone : (210) 261-1500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 256951 | TX |
National Provider Identifier
| NPI | 1033444286 |
|---|---|
| Provider Name | Ms. Diane Marie Goddard |
| First Address | San Antonio, TX 78213-4293 |
| Second Address | San Antonio, TX 78229-3273 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2009 |
| Last Update Date | 17/12/2019 |
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.