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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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 1912907148 NPPES
Texas MEDICAID 182311401
Texas Other 8970NL
Texas MEDICAID 182311402 (MDACC)

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