Organization
MARK G GOSS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G GOSS MD (PRESIDENT)
(940) 627-0013
Entity
Organization
Contact information
Practice address
2301 S FM 51, STE 500, DECATUR, TX 76234-3865
(940) 627-0013
(940) 627-1900
Mailing address
2301 S FM 51, STE 500, DECATUR, TX 76234-3865
(940) 627-0013
(940) 627-1900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037NA
BCBSTX
TX
05
—
177718701
—
TX
01
—
DF5668
MEDICARE RAILROAD
TX
Enumeration date
06/20/2006
Last updated
06/07/2019
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