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NPI Code Detail

MEDICARE: GOLD MEDICAL SERVICES PLLC

MEDICARE: GOLD MEDICAL SERVICES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1134091564
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLD MEDICAL SERVICES PLLC
Provider Business Mailing Address
First Line : 1148 W PIONEER PKWY STE F
Second Line :
City : ARLINGTON
State : TX
Zip : 76013-6385
Country : US
Telephone Number : 972-352-1764
Fax Number :
Provider Business Practice Location Address
First Line : 1148 W PIONEER PKWY STE F
Second Line :
City : ARLINGTON
State : TX
Zip : 76013-6385
Country : US
Telephone Number : 972-352-1764
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EVBU OSUNDE
Credential :
Telephone Number : 972-352-1764
Provider Enumeration Date : 09/23/2025
Last Update Date : 09/23/2025

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Directions to “GOLD MEDICAL SERVICES PLLC ” Practice Location

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