| Dr Pamela Jean Gougler, MD | |
|
312 Venture Blvd S, Lago Vista, TX 78645-8525 | |
| (512) 466-0472 | |
| (512) 466-0472 |
| Full Name | Dr Pamela Jean Gougler |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 312 Venture Blvd S, Lago Vista, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053757104 | NPI | - | NPPES |
| R0580 | Other | TX | TEXAS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R0580 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pecos County Memorial Hospital | Fort stockton, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pecos County Memorial Hospital | 0446160733 | 5 |
| Pecos County Memorial Hospital District | 3173977477 | 6 |
| Entity Name | Pecos County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457307175 PECOS PAC ID: 0446160733 Enrollment ID: O20041122000269 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Pecos County Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386400232 PECOS PAC ID: 3173977477 Enrollment ID: O20240403002215 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pamela Jean Gougler, MD Po Box 4022, Lago Vista, TX 78645-0010 Ph: (512) 466-0472 | Dr Pamela Jean Gougler, MD 312 Venture Blvd S, Lago Vista, TX 78645-8525 Ph: (512) 466-0472 |
Dr. Paul D Kyte, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6502 Lohmans Ford Rd, Lago Vista, TX 78645 Phone: 512-267-3213 Fax: 512-267-4232 | |
Loren Elizabeth Fisher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6502 Lohmans Ford Rd, Lago Vista, TX 78645 Phone: 512-267-3213 |