Individual
GOLDER N. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
H5095
TX
208000000X
Pediatrics Physician
H5095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056830 A
—
OK
05
—
119194204
—
TX
05
—
119194205
—
TX
05
—
119194211
—
TX
05
—
119194212
—
TX
05
—
119194216
—
TX
01
—
127048101
FIRSTCARE COMMERCIAL
TX
05
—
127048102
—
TX
05
—
31405762
—
NM
01
—
82994
PRESBYTERIAN COMMERCIAL
NM
05
—
82994
—
NM
01
—
87286Z
HMO BLUE
TX
01
—
8H8760
BC/BS
TX
01
—
A562
TRIWEST
NM
01
—
Y0069496
DPS
TX
Enumeration date
10/24/2005
Last updated
03/07/2023
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