Individual
JUNJI TSUKAGOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
725 BROADWAY ST APT 11, GALVESTON, TX 77550-5282
(409) 465-9196
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
BP10077046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TK9315892
PASSPORT
—
Enumeration date
07/21/2021
Last updated
07/21/2021
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