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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1548247216 NPPES
Texas MEDICAID 045404301
Texas MEDICAID 080689501
Texas Other 86981S
Texas Other 752774903

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