Healthcare Provider Details

I. General information

NPI: 1912402108
Provider Name (Legal Business Name): SAUMYAKKUMAR RAMESHBHAI GOSAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 07/26/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E TORONTO AVE
MCALLEN TX
78503-1209
US

IV. Provider business mailing address

2921 AIRLINE RD APT 1302
CORPUS CHRISTI TX
78414-3490
US

V. Phone/Fax

Practice location:
  • Phone: 956-687-6155
  • Fax: 956-618-0451
Mailing address:
  • Phone: 405-757-5056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberS9304
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: