Wilson, Golder N.

Wilson, Golder N. is an individual health care provider with primary practice located at 3601 4Th St Ms 9406, Lubbock TX 79430-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Wilson, Golder N. can be contacted via phone (806) 743-7337.

Contact Information

Primary practice address
3601 4Th St Ms 9406 Lubbock TX 79430-0002
Phone: (806) 743-7337
Fax: (806) 743-7329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H5095 Texas
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X H5095 Texas

Profile Details

NPI number 1063402840
LBN Legal business name Wilson, Golder N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063402840 NPPES
Texas MEDICAID 119194212
Texas Other 127048101
Texas MEDICAID 119194205
Texas Other 8H8760
Texas MEDICAID 119194204
Texas MEDICAID 119194211
Texas MEDICAID 127048102
Texas Other 87286Z
Texas Other Y0069496
Texas Other A562
Texas Other 82994
Texas MEDICAID 82994
Texas MEDICAID 100056830 A
Texas MEDICAID 119194216
Texas MEDICAID 31405762

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