Organization
I L GOLD, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA FELAN (BILLING MANAGER)
(979) 299-0091
Entity
Organization
Contact information
Practice address
7777 SOUTHWEST FWY, 1052, HOUSTON, TX 77074-1802
(713) 988-8776
(713) 988-8662
Mailing address
7777 SOUTHWEST FWY, 1052, HOUSTON, TX 77074
(713) 988-8776
(713) 988-8662
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022WD
BCBS
TX
05
—
218382401
—
TX
05
—
219484701
—
TX
Enumeration date
10/01/2010
Last updated
09/28/2016
Update your record
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