Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | E9206 | TX |
Y | 111NI0900X | Internist | E9206 | TX |
N | 207RA0201X | Internist - Allergy & Immunology | E9206 | TX |
N | 207RR0500X | Rheumatology | E9206 | TX |
NPI | 1760450647 |
---|---|
Provider Name | Joshua M. Gold |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 30/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C16179 | (02) | TX |