Provider Demographics
NPI:1285741892
Name:GOODSON, CATHARINE CECILIA (DDS)
Entity type:Individual
Prefix:DR
First Name:CATHARINE
Middle Name:CECILIA
Last Name:GOODSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 WEST MAIN ST. STE. B
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573
Mailing Address - Country:US
Mailing Address - Phone:281-332-2789
Mailing Address - Fax:281-332-2789
Practice Address - Street 1:2121 W MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3431
Practice Address - Country:US
Practice Address - Phone:281-332-2789
Practice Address - Fax:281-332-2789
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice