Provider Demographics
NPI:1134332638
Name:THE GOODWIN GROUP, INC.
Entity type:Organization
Organization Name:THE GOODWIN GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:G
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-547-1336
Mailing Address - Street 1:1223 W MCDERMOTT DR STE 70
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6408
Mailing Address - Country:US
Mailing Address - Phone:214-547-1336
Mailing Address - Fax:214-547-0131
Practice Address - Street 1:1223 W MCDERMOTT DR STE 70
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6408
Practice Address - Country:US
Practice Address - Phone:214-547-1336
Practice Address - Fax:214-547-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty