Individual
WHITNEY JOSEPH GONSOULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7121 S PADRE ISLAND DR, SUITE 303, CORPUS CHRISTI, TX 78412-4938
(361) 980-1244
(361) 980-1248
Mailing address
7121 S PADRE ISLAND DR, SUITE 303, CORPUS CHRISTI, TX 78412-4938
(361) 980-1244
(361) 980-1248
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
H4008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328871
—
LA
05
—
133906108
—
TX
01
—
173840303
MEDICAID GROUP
TX
Enumeration date
07/24/2006
Last updated
12/08/2008
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