MEDICARE: GLORIA ROMEO GOGOLA MD

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	207XS0106X	Orthopaedic Hand Surgery Physician	J8250	TX

General Provider Information

NPI Number	:	1659481695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA ROMEO GOGOLA MD

Provider Business Mailing Address
First Line	:	6400 FANNIN ST STE 1700
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5420 WEST LOOP S STE 2300
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2118
Country	:	US
Telephone Number	:	713-486-4880
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/25/2022

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