MEDICARE: GOLDSTONE PSYCHIATRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1053252494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDSTONE PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	3120 SOUTHWEST FWY STE 617
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4521
Country	:	US
Telephone Number	:	832-637-6403
Fax Number	:	832-300-8990

Provider Business Practice Location Address
First Line	:	3120 SOUTHWEST FWY STE 617
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4521
Country	:	US
Telephone Number	:	832-637-6403
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GIBSON ANUGWOM
Credential	:	MD
Telephone Number	:	832-637-6403

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/13/2026

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