Gold, Sandra Lee
Gold, Sandra Lee is an individual health care provider with primary practice located at 4333 N Josey Ln Ste 206, Carrollton TX 75010-4629. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Gold, Sandra Lee can be contacted via phone (972) 939-1757.Contact Information
Primary practice address
4333 N Josey Ln Ste 206
Carrollton TX 75010-4629
Phone: (972) 939-1757
Fax: (972) 939-1682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0940 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0940 | Texas |
Profile Details
| NPI number | 1548247216 |
|---|---|
| LBN Legal business name | Gold, Sandra Lee |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Apr 8th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548247216 | NPPES |
| Texas | MEDICAID | 045404301 | |
| Texas | MEDICAID | 080689501 | |
| Texas | Other | 86981S | |
| Texas | Other | 752774903 |
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