Provider Demographics
NPI:1326593294
Name:GOOD LIFE & HEALTH, LLC
Entity Type:Organization
Organization Name:GOOD LIFE & HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGOON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-412-3235
Mailing Address - Street 1:2202 S 77 SUNSHINESTRIP
Mailing Address - Street 2:SUITE H
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8352
Mailing Address - Country:US
Mailing Address - Phone:956-412-3235
Mailing Address - Fax:956-440-1413
Practice Address - Street 1:2202 S 77 SUNSHINESTRIP
Practice Address - Street 2:SUITE G
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8352
Practice Address - Country:US
Practice Address - Phone:956-412-3235
Practice Address - Fax:956-440-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care