Provider Demographics
NPI:1912332230
Name:GOSS CHIROPRACTIC & WELLNESS PLLC
Entity Type:Organization
Organization Name:GOSS CHIROPRACTIC & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-455-1073
Mailing Address - Street 1:2824 TERRELL RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-5569
Mailing Address - Country:US
Mailing Address - Phone:903-455-1073
Mailing Address - Fax:
Practice Address - Street 1:2824 TERRELL RD
Practice Address - Street 2:SUITE 204
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-5569
Practice Address - Country:US
Practice Address - Phone:903-455-1073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty