Individual
IRVING L GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G1662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081BF
BCBS#
—
05
—
113715002
—
TX
05
—
113715005
—
TX
05
—
113715006
—
TX
01
—
390004961
RAILROAD GBA
—
01
—
8BF370
BCBS
TX
Enumeration date
07/11/2006
Last updated
08/20/2018
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