Moore Gottschalk, Melinda
Moore Gottschalk, Melinda is an individual health care provider with primary practice located at 300 University Blvd Bldg A , Round Rock TX 78665. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore Gottschalk, Melinda can be contacted via phone (512) 509-0200.Contact Information
Primary practice address
300 University Blvd Bldg A
Round Rock TX 78665
Phone: (512) 509-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00441 | Texas |
Profile Details
| NPI number | 1912907148 |
|---|---|
| LBN Legal business name | Moore Gottschalk, Melinda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Aug 13th, 2018 - about 7 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 | 1912907148 | NPPES |
| Texas | MEDICAID | 182311401 | |
| Texas | Other | 8970NL | |
| Texas | MEDICAID | 182311402 (MDACC) |
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