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Individual

JUDITH GOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
450 THIS WAY, SUITE B, LAKE JACKSON, TX 77074
(979) 297-2220
(979) 297-3330
Mailing address
7777 SOUTHWEST FREEWAY, SUITE 1052, HOUSTON, TX 77074
(713) 988-8776
(713) 988-8662

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J9058
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007BJ
BCBS #
05
122059201
TX
01
390004959
RAILROAD GBA #
Enumeration date
07/07/2006
Last updated
08/20/2018
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