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
Phone: (832) 325-7133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1477668978 | NPPES |
| South Carolina | Other | 3922 | MEDICARE GROUP |
| South Carolina | Other | USC001 | MEDICARE GROUP |
| South Carolina | MEDICAID | 275251 | MEDICARE GROUP |
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