Individual
GWYN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 747-0593
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 747-0593
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
M2046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175668601
—
TX
05
—
175668603
—
TX
01
—
175668604
CSHCN MEDICAID TPI
TX
Enumeration date
12/14/2006
Last updated
07/29/2025
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