GOLDER N. WILSON M.D. NPI 1063402840

NPI Information

NPI: 1063402840
Provider Name: GOLDER N. WILSON, M.D.
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
3601 4TH ST
MS 9406
LUBBOCK, TX
ZIP 79430
Phone: (806) 743-7337
Get Directions

Golder N. Wilson, M.D. is a clinical genetics (m.d.) medical genetics in Lubbock, TX with 52 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Golder N. Wilson, M.D. NPI is 1063402840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:1972

The provider's business location address is:

3601 4TH ST
MS 9406
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-7337
Fax: (806) 743-7329

The NPI 1063402840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		H5095	TEXAS	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	H5095	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	119194212	MEDICAID	TEXAS
2	127048101	OTHER	TEXAS	FIRSTCARE COMMERCIAL
3	119194205	MEDICAID	TEXAS
4	8H8760	OTHER	TEXAS	BC/BS
5	119194204	MEDICAID	TEXAS
6	119194211	MEDICAID	TEXAS
7	127048102	MEDICAID	TEXAS
8	87286Z	OTHER	TEXAS	HMO BLUE
9	Y0069496	OTHER	TEXAS	DPS
10	A562	OTHER	NEW MEXICO	TRIWEST
11	82994	OTHER	NEW MEXICO	PRESBYTERIAN COMMERCIAL
12	82994	MEDICAID	NEW MEXICO
13	100056830 A	MEDICAID	OKLAHOMA
14	119194216	MEDICAID	TEXAS
15	31405762	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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