Provider Demographics
NPI:1295334936
Name:SAMANTHA H. GOODMAN, MD, PLLC
Entity type:Organization
Organization Name:SAMANTHA H. GOODMAN, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:H
Authorized Official - Last Name:GOODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-794-5421
Mailing Address - Street 1:5 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5269
Mailing Address - Country:US
Mailing Address - Phone:325-794-5421
Mailing Address - Fax:
Practice Address - Street 1:5 HOSPITAL DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5269
Practice Address - Country:US
Practice Address - Phone:325-794-5421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty