Richardson, Gwyn

Richardson, Gwyn is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Richardson, Gwyn can be contacted via phone (409) 747-0593.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-5302
Phone: (409) 747-0593
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M2046 Texas
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X M2046 Texas
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X M2046 Texas

Profile Details

NPI number 1629130976
LBN Legal business name Richardson, Gwyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Dec 12th, 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 1629130976 NPPES
Texas MEDICAID 175668601
Texas Other 175668604
Texas MEDICAID 175668603

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