Individual
DR. LAURA M GOETZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
6410 FANNIN ST STE 250, HOUSTON, TX 77030-3004
(832) 325-7133
Mailing address
6410 FANNIN ST STE 250, HOUSTON, TX 77030-3004
(832) 325-7133
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
L0208
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275251
—
SC
01
—
3922
MEDICARE GROUP
SC
01
—
USC001
MEDICAID GROUP
SC
Enumeration date
08/21/2006
Last updated
05/13/2021
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