Goetzl, Laura M

Goetzl, Laura M is an individual health care provider with primary practice located at 6410 Fannin St Ste 250 , Houston TX 77030-3004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Goetzl, Laura M can be contacted via phone (832) 325-7133.

Contact Information

Primary practice address
6410 Fannin St Ste 250 Houston TX 77030-3004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X L0208 Texas

Profile Details

NPI number 1477668978
LBN Legal business name Goetzl, Laura M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated May 13th, 2021 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477668978 NPPES
South Carolina Other USC001 MEDICAID GROUP
South Carolina MEDICAID 275251 MEDICAID GROUP
South Carolina Other 3922 MEDICAID GROUP

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