Golder N. Wilson
Pediatrician Clinical Genetics (M.D.)
3601 4th St Ms 9406
Lubbock
, Texas 79430-0002
Golder N. Wilson
Pediatrician Clinical Genetics (M.D.)
3601 4th St Ms 9406
Lubbock
, Texas 79430-0002
(806) 743-2787
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Golder N. Wilson
- Po Box 5865
- Lubbock, TX
- Zip : 79408-5865
- Fax : (806) 743-2787
- Phone : (806) 743-2898
Second Address
- Golder N. Wilson
- 3601 4th St Ms 9406
- Lubbock, TX
- Zip : 79430-0002
- Fax : (806) 743-7329
- Phone : (806) 743-7337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | H5095 | TX |
| N | 208000000X | Pediatrician | H5095 | TX |
National Provider Identifier
| NPI | 1063402840 |
|---|---|
| Provider Name | Golder N. Wilson |
| First Address | Lubbock, TX 79408-5865 |
| Second Address | Lubbock, TX 79430-0002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2005 |
| Last Update Date | 10/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100056830 A | (05) | OK |
| 119194204 | (05) | TX |
| 119194205 | (05) | TX |
| 119194211 | (05) | TX |
| 119194212 | (05) | TX |
| 119194216 | (05) | TX |
| 127048101 | FIRSTCARE COMMERCIAL (01) | TX |
| 127048102 | (05) | TX |
| 31405762 | (05) | NM |
| 82994 | (05) | NM |
| 82994 | PRESBYTERIAN COMMERCIAL (01) | NM |
| 87286Z | HMO BLUE (01) | TX |
| 8H8760 | BC/BS (01) | TX |
| A562 | TRIWEST (01) | NM |
| AW6518914 | DEA (01) | TX |
| C23616 | (02) | TX |
| Y0069496 | DPS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.