Individual
DR. MARY S GOSWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4021 GARTH RD, STE #105, BAYTOWN, TX 77521-3160
(281) 420-8557
(281) 427-2911
Mailing address
PO BOX 1297, BAYTOWN, TX 77522-1297
(281) 420-8557
(281) 427-2911
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
J6972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018GK
BCBS
TX
01
—
10017453
AMERIGROUP
TX
05
—
103039703
—
TX
Enumeration date
08/04/2006
Last updated
10/28/2010
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