Individual ProviderJames GwosdzAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000(713) 798-4951PECOS EnrollmentBased on the most recent information from CMS, provider James Gwosdz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1134651466Provider TypeIndividualFull NameGwosdz, JamesTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/28/2017Last Updated10/23/2023Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing Address1 Baylor Plz, Houston, TX 77030-3498Phone(713) 798-4951FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseU4209TexasCode246ZX2200XDescriptionSpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP30067001Texas