Gold, Judith

Gold, Judith is an individual health care provider with primary practice located at 450 This Way Suite B, Lake Jackson TX 77074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Gold, Judith can be contacted via phone (979) 297-2220.

Contact Information

Primary practice address
450 This Way Suite B Lake Jackson TX 77074
Phone: (979) 297-2220
Fax: (979) 297-3330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X J9058 Texas

Profile Details

NPI number 1104858422
LBN Legal business name Gold, Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 20th, 2018 - about 6 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 1104858422 NPPES
Other 390004959 RAILROAD GBA #
Other 0007BJ RAILROAD GBA #
MEDICAID 122059201 RAILROAD GBA #

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