Individual
DR. MARK G GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4211 JOE RAMSEY BLVD E STE 100, GREENVILLE, TX 75401-7856
(903) 408-5770
(903) 408-5779
Mailing address
4211 JOE RAMSEY BLVD E STE 100, GREENVILLE, TX 75401-7856
(903) 408-5770
(903) 408-5779
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J4162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122308304
—
TX
01
—
P00375814
MEDICARE RAILROAD
TX
Enumeration date
05/15/2006
Last updated
08/19/2021
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