MEDICARE: DR. ODIS WAYNE GOSSETT M.D.

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	207Q00000X	Family Medicine Physician	K2027	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00004526	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8H3101	OTHER	TX	BLUE CROSS
2	2358921	OTHER	TX	AETNA
4	04443	OTHER	TX	CIGNA

General Provider Information

NPI Number	:	1477556322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ODIS WAYNE GOSSETT M.D.

Provider Business Mailing Address
First Line	:	1039 N TWIN CITY HWY STE B
Second Line	:
City	:	NEDERLAND
State	:	TX
Zip	:	77627-3851
Country	:	US
Telephone Number	:	409-722-0026
Fax Number	:	409-729-2783

Provider Business Practice Location Address
First Line	:	1039 N TWIN CITY HWY STE B
Second Line	:
City	:	NEDERLAND
State	:	TX
Zip	:	77627-3851
Country	:	US
Telephone Number	:	409-722-0026
Fax Number	:	409-729-2783

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/09/2024

Similar Medicare Providers

1295887206 — PICKARD GOSSETT & SAWISKY LLP
Practice Location Address:

1039 N TWIN CITY HWY STE B
NEDERLAND, TX
77627-3851

Practice Phone: 409-722-0026
Practice Fax: 409-729-2783

1942686035 — MICHAEL CHRISTOPHER MITCHELL NP
Practice Location Address:

1039 N TWIN CITY HWY STE B
NEDERLAND, TX
77627-3851

Practice Phone: 409-722-0026
Practice Fax: 409-729-2783

1710972443 — DR. CRISTETO AGUILOS POLVOROSA MD
Practice Location Address:

1120 S 27TH ST
NEDERLAND, TX
77627-6224

Practice Phone: 409-985-7404
Practice Fax: 409-727-6030

1548379258 — CHRISTOPHER EARL MARRERO M.D.
Practice Location Address:

2400 HIGHWAY 365 STE 207
NEDERLAND, TX
77627-6250

Practice Phone: 409-724-7407
Practice Fax: 409-724-7479

1821403809 — DR. KRISTOPHER GABAS DELA CRUZ M.D.
Practice Location Address:

2400 HIGHWAY 365 STE 108
NEDERLAND, TX
77627-6268

Practice Phone: 409-727-2808
Practice Fax:

1770586620 — DR. DAVID L SAWISKY SR. M.D.
Practice Location Address:

1039 N TWIN CITY HWY STE B
NEDERLAND, TX
77627

Practice Phone: 409-722-0026
Practice Fax: 409-729-2783

Directions to “ DR. ODIS WAYNE GOSSETT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.