IndividualActive
Amanda Goodwin, COTA
NPI 1245715747 · Geriatric Medicine (Family Medicine) Physician · Greenville, TX
Provider details
- NPI number
- 1245715747
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 214317 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4400 Walnut St
Greenville, TX 75401-5586
Phone: (903) 455-4618
Approximate (ZIP-level) locationGet directions
Mailing address
250 Ravine St
Emory, TX 75440-2433
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2018-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.