Goss, Jennifer Suzanne

Goss, Jennifer Suzanne is an individual health care provider with primary practice located at 1180 Seton Pkwy Suite 340, Kyle TX 78640-6178. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Goss, Jennifer Suzanne can be contacted via phone (512) 504-0851.

Contact Information

Primary practice address
1180 Seton Pkwy Suite 340 Kyle TX 78640-6178
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M4111 Texas

Profile Details

NPI number 1710180906
LBN Legal business name Goss, Jennifer Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jan 28th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710180906 NPPES
Texas MEDICAID 194598204
Texas MEDICAID 194598205

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