Dubose, Gwendolyn Marie
Dubose, Gwendolyn Marie is an sole proprietor health care provider with primary practice located at 601 River Pointe Dr Suite 120, Conroe TX 77304-2945. 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. Dubose, Gwendolyn Marie can be contacted via phone (936) 788-6060.Contact Information
Primary practice address
601 River Pointe Dr Suite 120
Conroe TX 77304-2945
Phone: (936) 788-6060
Fax: (936) 788-6061
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05851 | Texas |
Profile Details
NPI number | 1467725630 |
---|---|
LBN Legal business name | Dubose, Gwendolyn Marie |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2012 |
Last updated | Feb 17th, 2012 - about 12 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.
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