Individual
JOHN A. GOSS
Active
Individual
JOHN A. GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
K5969
TX
208600000X
Surgery Physician
K5969
TX
2086S0120X
Pediatric Surgery Physician
K5969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020049095
RR MEDICARE
—
05
—
116597901
—
TX
05
—
116597903
—
TX
01
—
116597904
CSHCN
TX
05
—
1672009
—
LA
Enumeration date
10/17/2006
Last updated
05/27/2023
Update your record
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