Gogulski, David H.
Gogulski, David H. is an individual health care provider with primary practice located at 910 E Whitestone Blvd , Cedar Park TX 78613-9093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gogulski, David H. can be contacted via phone (512) 260-6100.Contact Information
Primary practice address
910 E Whitestone Blvd
Cedar Park TX 78613-9093
Phone: (512) 260-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K0477 | Texas |
Profile Details
| NPI number | 1245290931 |
|---|---|
| LBN Legal business name | Gogulski, David H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Dec 16th, 2021 - about 5 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245290931 | NPPES |
| Texas | Other | 84194K | BLUE SHIELD |
| Texas | Other | 080161863 | BLUE SHIELD |
| Texas | MEDICAID | 1184285-02 | BLUE SHIELD |
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