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General NPI Number Information
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NPI Number | 1134651466
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Entity Type | Individual
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Provider Name | JAMES GWOSDZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 12222 MERIT DR STE 600
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City | DALLAS
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State | TX
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Zip | 75251-3294
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Country | US
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Telephone | 972-715-5000
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Fax | 972-715-9976
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Provider Business Mailing Address
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Address Line | 1 BAYLOR PLZ
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City | HOUSTON
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State | TX
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Zip | 77030-3498
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Country | US
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Telephone | 713-798-4951
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZX2200X
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Taxonomy Name | Orthopedic Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP30067001
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | U4209
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License Number State | TX
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