Individual
JENNIFER SUZANNE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1180 SETON PKWY, SUITE 340, KYLE, TX 78640-6178
(512) 504-0851
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M4111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194598204
—
TX
05
—
194598205
—
TX
Enumeration date
06/06/2007
Last updated
01/28/2013
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