Provider Demographics
NPI:1003817149
Name:GOSSETT, GARLAND WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:GARLAND
Middle Name:WILLIAM
Last Name:GOSSETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GARLAND
Other - Middle Name:
Other - Last Name:GOSSETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1315 ST JOSEPH PKWY
Mailing Address - Street 2:STE 1003
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8233
Mailing Address - Country:US
Mailing Address - Phone:713-659-2666
Mailing Address - Fax:713-659-8930
Practice Address - Street 1:1315 ST JOSEPH PKWY
Practice Address - Street 2:STE 1003
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8233
Practice Address - Country:US
Practice Address - Phone:713-659-2666
Practice Address - Fax:713-659-8930
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2013-01-25
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
TXH8658174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist