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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1629130976 | NPPES |
| Texas | MEDICAID | 175668601 | |
| Texas | Other | 175668604 | |
| Texas | MEDICAID | 175668603 |
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