Provider Demographics
NPI:1063764959
Name:GOFFNEY, JOEY
Entity type:Individual
Prefix:
First Name:JOEY
Middle Name:
Last Name:GOFFNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 CAGE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-6114
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11920 WALTERS RD
Practice Address - Street 2:104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-1956
Practice Address - Country:US
Practice Address - Phone:832-452-7046
Practice Address - Fax:888-252-1997
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance