Individual
MICHAEL DAVID GOUVION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4005 24TH ST, LUBBOCK, TX 79410-1831
(806) 792-2767
(888) 861-8858
Mailing address
4005 24TH ST STE 1825, LUBBOCK, TX 79410-1831
(806) 792-2767
(888) 861-8858
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L3317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J3751
MEDICARE
TX
Enumeration date
04/18/2006
Last updated
11/03/2021
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