MEDICARE: DR. DAVID MICHAEL GOULD 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	H9021	TX

General Provider Information

NPI Number	:	1568543254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MICHAEL GOULD M.D.

Provider Business Mailing Address
First Line	:	909 FROSTWOOD DR
Second Line	:	SUITE 1.100
City	:	HOUSTON
State	:	TX
Zip	:	77024-2301
Country	:	US
Telephone Number	:	713-338-4523
Fax Number	:

Provider Business Practice Location Address
First Line	:	13114 FM 1960 RD W
Second Line	:	SUITE 119
City	:	HOUSTON
State	:	TX
Zip	:	77065-4290
Country	:	US
Telephone Number	:	281-890-6446
Fax Number	:

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	08/15/2016

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