# JILL R. GOULD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316036031
- **Gender:** F
- **Credential:** MS, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA03639 | TX | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 10/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 180633301 (MDACC) | — | TX |
| 01 | — | 8N7222 | BCBS (MDACC) | TX |
| 01 | — | P01054665 | RR MEDICARE (MDACC) | TX |