NPI 1174669451

Timothy James Goodridge, AA

Practitioner Anesthesiologist Assistant Round Rock, TX

Practice location

Address: 302 University Blvd, Round Rock, TX 78665-1032
Phone: (512) 509-0200
Fax: (512) 218-6330
Mailing address: PO Box 844658, Dallas, TX 75284-4658

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 343 (TX)

Other Anesthesiologist Assistant providers in Texas →

Registry record

NPI: 1174669451
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2007
Record last updated: 16 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.