Individual
MICHELLE JEANINE GOSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17450 ST LUKES WAY STE 360, THE WOODLANDS, TX 77384-8046
(512) 202-3830
(512) 354-1106
Mailing address
PO BOX 3409, PFLUGERVILLE, TX 78691-3409
(512) 202-3830
(512) 354-1106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D62693
MD
207P00000X
Emergency Medicine Physician
Primary
N2534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407331200
—
MD
Enumeration date
06/04/2006
Last updated
09/16/2024
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