Goulden, Dudley Decatur
Goulden, Dudley Decatur is an individual health care provider with primary practice located at 11937 Us Highway 271 , Tyler TX 75708-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goulden, Dudley Decatur can be contacted via phone (903) 877-7777.Contact Information
Primary practice address
11937 Us Highway 271
Tyler TX 75708-3154
Phone: (903) 877-7777
Fax: (903) 877-5838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E0476 | Texas |
Profile Details
| NPI number | 1336138742 |
|---|---|
| LBN Legal business name | Goulden, Dudley Decatur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Oct 10th, 2016 - about 10 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 | 1336138742 | NPPES |
| Texas | MEDICAID | 102234501 |
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