Elaine Gwosdz-gilman Md Pllc | |
2041 Sundance Pkwy New Braunfels TX 78130-2779 | |
(830) 625-6700 | |
Not Available |
Full Name | Elaine Gwosdz-gilman Md Pllc |
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Speciality | Family Medicine |
Location | 2041 Sundance Pkwy, New Braunfels, Texas |
Authorized Official Name and Position | Elaine Gwosdz-gilman (SOLE MEMBER) |
Authorized Official Contact | 8302379386 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elaine Gwosdz-gilman Md Pllc 301 Main Plz Suite 365 New Braunfels TX 78130-5136 Ph: (830) 237-9386 | Elaine Gwosdz-gilman Md Pllc 2041 Sundance Pkwy New Braunfels TX 78130-2779 Ph: (830) 625-6700 |
NPI Number | 1720469331 |
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Provider Enumeration Date | 06/09/2015 |
Last Update Date | 06/09/2015 |
Medicare PECOS PAC ID | 4688989254 |
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Medicare Enrollment ID | O20150812007388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720469331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K2915 (Texas) | Primary |
Provider Name | Elaine M. Gwosdz-gilman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952334963 PECOS PAC ID: 4587567201 Enrollment ID: I20100720000941 |
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